go back

New Mexico rates for HCPCS 35111

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic artery

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
$1,270.38 / $1,412.07 / $2,426.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.10 / $2,021.61 / $3,375.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.80 / $2,233.07 / $2,638.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,086.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.03 / $1,901.49 / $2,193.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.70 / $1,972.51 / $2,638.39
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
$1,800.50 / $2,045.28 / $2,796.48