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New Mexico rates for HCPCS 78831

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.58 / $62.58 / $132.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.97 / $791.24 / $4,219.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.06 / $204.82 / $1,107.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.47 / $1,020.94 / $1,226.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $129.01 / $918.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.47 / $1,020.94 / $1,226.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.51 / $651.20 / $1,432.12