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New Mexico rates for HCPCS 35363

Teaec W/Wo Patch Graft Combined Aortoiliofemoral

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
$1,550.92 / $1,699.85 / $2,966.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.17 / $2,758.54 / $3,443.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,550.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.34 / $2,326.96 / $2,694.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.06 / $2,410.19 / $3,443.05
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
$2,073.21 / $2,595.44 / $3,822.39