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New Mexico rates for HCPCS A9527

Iodine I-125, sodium iodide solution, therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.58 / $164.58 / $164.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.98 / $150.69 / $164.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.96 / $183.96 / $260.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $68.20 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.90 / $171.19 / $248.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $183.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $215.05