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New Mexico rates for HCPCS 45113

Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy

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
$1,764.27 / $1,896.95 / $2,715.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.35 / $2,108.35 / $2,108.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.55 / $2,720.90 / $3,682.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,880.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,767.19 / $2,262.35 / $2,868.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.53 / $3,031.04 / $4,802.39
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
$1,967.68 / $2,817.36 / $4,597.59