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New Mexico rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.35 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.41 / $578.35 / $2,795.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.19 / $7,358.91 / $11,843.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.07 / $762.90 / $1,702.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.35 / $860.89 / $1,113.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $983.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.41 / $693.44 / $969.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.92 / $918.29 / $1,514.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.10 / $872.16 / $1,269.00