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New Mexico rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

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
$2,550.92 / $2,965.05 / $4,331.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.00 / $3,301.00 / $3,301.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,961.86 / $4,216.97 / $5,405.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,592.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,808.75 / $3,348.81 / $4,331.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,179.70 / $4,498.10 / $7,517.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,969.45 / $3,962.88 / $5,777.21