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New Mexico rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.50 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.87 / $572.09 / $795.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.95 / $440.95 / $587.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.78 / $890.17 / $1,160.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $754.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.22 / $863.19 / $883.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.45 / $741.63 / $1,160.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $3,503.00 / $15,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.47 / $875.16 / $1,105.21