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New Mexico rates for HCPCS 33987

Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.39 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.74 / $200.94 / $378.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $310.39 / $391.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $322.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.97 / $305.70 / $391.45
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
$268.39 / $329.41 / $440.64