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New Mexico rates for HCPCS 33617

Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure

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
$2,058.82 / $2,095.33 / $3,906.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,083.04 / $2,936.63 / $3,752.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.96 / $3,339.96 / $4,169.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,383.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,294.48 / $2,920.26 / $3,343.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,560.64 / $3,199.25 / $4,169.39
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
$2,540.79 / $3,326.40 / $5,074.63