go back

New Mexico rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.22 / $37.22 / $37.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $32.53 / $37.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.46 / $31.00 / $34.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.25 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $33.31 / $34.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $32.65