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New Mexico rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $141.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $263.03 / $467.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $288.40 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,737.80 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $177.83 / $354.81