go back

New Mexico rates for HCPCS 33612

Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction

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
$1,898.52 / $1,935.68 / $3,617.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.86 / $3,073.34 / $3,828.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,129.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.82 / $2,795.95 / $3,171.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.23 / $2,959.61 / $3,828.56
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
$2,372.69 / $3,121.56 / $4,681.54