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New Mexico rates for HCPCS 33853

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with 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
$1,779.49 / $1,795.18 / $3,306.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.81 / $2,900.60 / $3,589.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,868.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.32 / $2,596.78 / $2,824.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.79 / $2,710.81 / $3,589.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,616.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.96 / $2,917.19 / $3,845.52