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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
$145.78 / $145.78 / $292.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.78 / $234.36 / $1,212.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.52 / $357.52 / $357.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.07 / $263.04 / $344.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.72 / $278.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.39 / $258.64 / $357.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.70 / $291.22 / $346.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.92 / $176.19 / $413.81