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New Mexico rates for HCPCS 33684

Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic)

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
$1,821.31 / $1,825.79 / $3,410.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.47 / $2,965.08 / $3,689.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,951.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.71 / $2,406.35 / $2,865.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.23 / $2,789.34 / $3,689.55
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
$2,292.29 / $2,903.58 / $4,430.68