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New Mexico rates for HCPCS A9552

Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.59 / $889.20 / $1,384.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.69 / $313.70 / $625.60
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
$583.00 / $583.00 / $623.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $359.05