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New Mexico rates for HCPCS Q9967

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.25 / $323.85 / $876.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $11.90 / $66.20
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
$0.14 / $0.17 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.28 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15