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New Mexico rates for HCPCS Q9956

Injection, octafluoropropane microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $64.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $51.63 / $110.17
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
$32.77 / $48.58 / $48.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $59.02 / $73.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $44.72 / $61.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $53.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $44.72