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New Mexico rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.19 / $15.19 / $32.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.03 / $214.07 / $1,130.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.72 / $108.44 / $234.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.64 / $247.87 / $333.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $32.34 / $254.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.47 / $274.42 / $333.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $157.97 / $384.25