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New Mexico rates for HCPCS 33974

Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.53 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.58 / $874.40 / $1,601.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.32 / $1,399.99 / $1,718.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,388.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.90 / $1,210.23 / $1,370.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.32 / $1,307.75 / $1,718.76
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
$1,037.41 / $1,407.12 / $2,081.69