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New Mexico rates for HCPCS 35122

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric 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
$1,804.18 / $1,880.41 / $3,454.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.42 / $3,064.90 / $4,077.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,967.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.23 / $2,679.40 / $3,091.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.21 / $2,808.19 / $4,077.06
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
$2,384.78 / $2,994.83 / $4,450.93