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New Mexico rates for HCPCS A9580

Sodium fluoride F-18, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.30 / $209.30 / $209.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.63 / $191.63 / $209.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $306.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00