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New Mexico rates for HCPCS 35022

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.69 / $1,403.14 / $2,605.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.63 / $2,205.83 / $2,780.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,244.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.65 / $1,797.92 / $2,185.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.75 / $2,117.57 / $2,780.75
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
$1,642.13 / $2,193.92 / $3,377.70