go back

New Mexico rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $60.00 / $1,500.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34