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New Mexico rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $347.76 / $347.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $29.76 / $280.00
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
$13.01 / $17.34 / $17.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $17.70 / $23.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.73 / $15.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73