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New Mexico rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $7,762.47 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $21,379.62 / $36,307.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $954.99