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New Mexico rates for HCPCS 46712

Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.99 / $2,278.87 / $3,320.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,515.92 / $2,515.92 / $2,515.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.69 / $3,004.70 / $4,094.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,495.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,111.09 / $2,551.27 / $3,320.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.58 / $3,298.27 / $5,755.05
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
$2,262.33 / $3,161.35 / $4,692.35