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New Mexico rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $15.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $17.30 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $10.70 / $12.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $12.57