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New Mexico rates for HCPCS 48552

Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.09 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.20 / $239.60 / $353.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.61 / $267.61 / $267.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.79 / $350.99 / $440.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $371.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.47 / $278.63 / $353.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.08 / $379.36 / $620.33
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
$243.00 / $345.00 / $502.97