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New Mexico rates for HCPCS A9515

Choline C-11, diagnostic, per study dose up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,700.00 / $5,700.00 / $5,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,980.00 / $5,700.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,341.07 / $29,606.37 / $49,598.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,500.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.00 / $5,100.00 / $5,700.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,100.00 / $5,100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,000.00