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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
$933.25 / $977.24 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $891.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,258.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $5,011.87 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,258.93