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New Mexico rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.38 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.94 / $191.58 / $334.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.66 / $292.49 / $368.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $286.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.24 / $269.68 / $368.30
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
$253.88 / $310.88 / $434.16