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New Mexico rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $309.03 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $263.03 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $48.98 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $275.42 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15