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New Mexico rates for HCPCS A9520

Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.55 / $820.80 / $1,381.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.20 / $658.93 / $966.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $1,320.05 / $2,151.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $244.44 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.81 / $674.81 / $754.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $661.57