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New Mexico rates for HCPCS A9548

Indium In-111 Pentetate Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.47 / $1,009.47 / $1,009.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.96 / $881.96 / $1,009.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
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
$175.90 / $272.32 / $903.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.21 / $903.21 / $903.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.50 / $885.50 / $885.50