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New Mexico rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

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
$1,576.48 / $1,784.48 / $2,602.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.88 / $1,974.88 / $1,974.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.27 / $2,571.39 / $3,235.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,741.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.74 / $2,101.84 / $2,609.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.04 / $2,742.82 / $4,511.82
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
$1,773.59 / $2,516.21 / $4,044.81