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New Mexico rates for HCPCS 35870

Repair of graft-enteric fistula

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
$1,194.25 / $1,333.73 / $2,277.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.54 / $2,061.52 / $2,506.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,958.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.84 / $1,758.71 / $2,030.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.15 / $1,851.40 / $2,506.03
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
$1,516.30 / $2,037.87 / $2,929.76