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New Mexico rates for HCPCS A9575

Injection, gadoterate meglumine, 0.1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $112.20 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $22.91 / $154.88
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
$0.10 / $0.13 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.16 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.18 / $0.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12