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New Mexico rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $60.26 / $85.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20