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New Mexico rates for HCPCS D0367

Cone Beam Ct Capture & Interp Fd View Both Jaws

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.83 / $124.83 / $124.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.83 / $128.72 / $171.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.42 / $149.43 / $183.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $2,250,000.00 / $2,250,000.00