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New Mexico rates for HCPCS 35663

Bypass graft, with other than vein; ilioiliac

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
$1,165.56 / $1,242.30 / $2,222.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.74 / $2,017.28 / $2,511.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,913.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.68 / $1,707.59 / $2,009.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.26 / $1,808.53 / $2,511.87
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
$1,531.66 / $1,943.70 / $2,640.96