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New Mexico rates for HCPCS Q9969

Tc-99m from nonhighly enriched uranium source, full cost recovery add-on, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $2.27 / $884.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.94 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $55.00 / $89.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $60.00 / $1,500.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $10.81