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New Mexico rates for HCPCS A9588

Fluciclovine F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.98 / $588.98 / $588.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.58 / $514.58 / $588.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.33 / $2,142.60 / $3,491.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.98 / $526.98 / $563.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $516.65