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New Mexico rates for HCPCS 77762

Intracavitary radiation source application; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.72 / $387.72 / $840.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.72 / $672.44 / $3,088.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.68 / $220.68 / $220.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.54 / $701.97 / $931.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $227.40 / $523.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.90 / $576.46 / $625.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.54 / $744.69 / $931.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.76 / $634.10 / $1,066.89