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New Mexico rates for HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $73.70 / $167.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $2.08
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
$1.55 / $1.60 / $2.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.55 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.96 / $2.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96