go back

New Mexico rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.12 / $153.12 / $305.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.12 / $244.23 / $1,285.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.56 / $1,787.79 / $2,913.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.31 / $420.31 / $420.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.41 / $295.44 / $415.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $41.34 / $303.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.96 / $176.35 / $230.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $327.10 / $415.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $884.18 / $884.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.13 / $188.30 / $437.03