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New Mexico rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.86 / $7,448.00 / $7,448.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.54 / $7,430.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.11 / $367.08 / $598.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.89 / $58.89 / $63.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $67.97 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $58.93 / $63.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $57.78