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New Mexico rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

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
$1,516.77 / $1,519.47 / $2,818.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.36 / $2,461.55 / $3,062.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,430.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.95 / $2,035.03 / $2,408.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.19 / $2,291.44 / $3,062.13
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
$1,828.20 / $2,383.16 / $3,661.19