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New Mexico rates for HCPCS 49426

Revision of peritoneal-venous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.59 / $690.30 / $999.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.70 / $823.65 / $1,173.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.69 / $763.69 / $1,996.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.66 / $938.07 / $1,232.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,061.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.58 / $781.56 / $1,135.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.15 / $1,000.61 / $1,749.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.16 / $953.04 / $1,414.16