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New Mexico rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.09 / $100.09 / $205.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $164.21 / $785.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.50 / $124.50 / $124.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.04 / $234.58 / $300.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $51.23 / $146.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.58 / $245.05 / $274.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.62 / $227.70 / $300.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.41 / $152.00 / $271.64