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New Mexico rates for HCPCS 49040

Drainage Subdiaphragmatic/Subphren Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.67 / $1,141.67 / $1,141.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.87 / $1,118.35 / $1,500.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00