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New Mexico rates for HCPCS A9551

Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.34 / $683.34 / $683.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.02 / $597.02 / $683.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
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
$611.41 / $611.41 / $719.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $683.34