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New Mexico rates for HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $194.98 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $10.00 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $44.67 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.51 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.55 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.43 / $0.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.41