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New Mexico rates for HCPCS 33694

Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch

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
$1,885.99 / $1,887.32 / $3,523.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.38 / $3,071.79 / $3,813.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,048.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.63 / $2,690.07 / $2,969.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,355.04 / $2,881.77 / $3,813.60
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
$2,357.26 / $3,066.20 / $4,577.29