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New Mexico rates for HCPCS 38115

Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $1,471.00 / $1,471.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.91 / $1,380.91 / $1,837.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00