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New Mexico rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

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
$1,893.50 / $2,019.84 / $3,712.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.69 / $3,249.00 / $3,991.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,211.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.23 / $2,839.75 / $3,216.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.90 / $3,036.42 / $3,991.06
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
$2,415.67 / $3,257.28 / $4,821.91