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New Mexico rates for HCPCS Q9960

High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.32 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.39 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.27 / $0.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18