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New Mexico rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.17 / $9,486.54 / $9,486.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.46 / $612.60 / $1,010.40
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
$450.11 / $600.15 / $600.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.36 / $768.90 / $984.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
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
$590.46 / $661.54 / $922.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $826.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $615.05