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New Mexico rates for HCPCS 33852

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass

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
$1,342.67 / $1,362.03 / $2,524.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.76 / $2,170.67 / $2,692.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,192.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.39 / $1,956.67 / $2,207.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.18 / $2,070.09 / $2,692.26
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
$1,641.33 / $2,041.05 / $2,933.99