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New Mexico rates for HCPCS 33895

Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.94 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.82 / $755.05 / $1,391.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.76 / $1,148.68 / $1,448.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,211.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.95 / $1,148.68 / $1,448.58
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
$997.04 / $1,246.30 / $1,790.14