go back

New Mexico rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.16 / $486.16 / $657.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.59 / $771.67 / $1,368.00
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
$279.00 / $279.00 / $298.52
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
$929.73 / $929.73 / $929.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $883.24