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New Mexico rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.32 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.42 / $630.39 / $910.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.07 / $697.07 / $697.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.16 / $833.17 / $1,122.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $969.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.00 / $728.72 / $928.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.16 / $912.70 / $1,598.19
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
$651.02 / $832.70 / $1,247.04