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New Mexico rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,043.20 / $7,804.80 / $10,108.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.65 / $958.65 / $1,097.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.97 / $5,049.07 / $8,227.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $1,097.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $962.50