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New Mexico rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

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
$4,426.95 / $5,022.01 / $7,385.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,597.96 / $5,597.96 / $5,597.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,879.87 / $7,319.80 / $9,211.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $7,784.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,290.24 / $5,493.98 / $7,370.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,387.15 / $7,807.79 / $12,715.92
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
$5,205.97 / $7,283.07 / $11,447.10