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New Mexico rates for HCPCS 35636

Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)

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
$1,523.30 / $1,704.27 / $2,913.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.01 / $2,649.67 / $3,215.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,503.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.94 / $2,255.19 / $2,618.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.16 / $2,367.38 / $3,215.59
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
$2,007.67 / $2,613.00 / $3,752.72