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New Mexico rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.37 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.61 / $724.53 / $1,183.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.41 / $1,079.66 / $1,324.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $202.62 / $1,093.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.36 / $905.37 / $1,090.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.74 / $1,079.66 / $1,324.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.19 / $1,118.14 / $1,610.81