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New Mexico rates for HCPCS A9579

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $315.39 / $454.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.63 / $5.31
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
$1.31 / $1.71 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $2.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.25 / $4.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48