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New Mexico rates for HCPCS A9526

Nitrogen N-13 Ammonia Diagnostic Per Study Dose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.39 / $826.39 / $826.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $722.00 / $826.39
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
$143.00 / $143.00 / $143.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $143.00