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New Mexico rates for HCPCS 45800

Closure Rectovesical 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
$1,097.71 / $1,263.03 / $1,899.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.76 / $1,443.76 / $1,443.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.51 / $1,771.74 / $2,342.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,009.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.35 / $1,382.94 / $1,899.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.44 / $1,891.74 / $3,306.87
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
$1,304.89 / $1,826.76 / $2,697.34