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New Mexico rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.39 / $15.39 / $15.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $13.45 / $15.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $60.00 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $13.12 / $13.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25