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New Mexico rates for HCPCS 33414

Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.87 / $2,084.75 / $3,881.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.21 / $3,394.14 / $4,198.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,357.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $2,609.83 / $3,251.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,602.17 / $3,175.30 / $4,198.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.94 / $3,311.28 / $5,041.43