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New Mexico rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.66 / $220.66 / $441.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.66 / $352.92 / $1,826.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.54 / $582.54 / $582.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.18 / $472.20 / $682.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $71.33 / $409.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.40 / $311.04 / $388.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.49 / $504.17 / $682.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.60 / $300.93 / $620.71