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New Mexico rates for HCPCS 61702

Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation

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
$3,262.61 / $3,546.60 / $6,843.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,008.62 / $5,992.10 / $7,550.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,204.63 / $6,485.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,385.72 / $4,593.95 / $5,477.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,593.95 / $5,992.10 / $7,550.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,529.17 / $5,854.99 / $9,407.33