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New Mexico rates for HCPCS 33884

Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.62 / $1,985.43 / $1,985.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $620.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.27 / $624.23 / $637.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.81 / $655.71 / $931.50