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New Mexico rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.47 / $1,120.89 / $4,734.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.84 / $1,287.74 / $2,189.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,785.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.27 / $1,247.50 / $1,955.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.56 / $1,363.58 / $2,949.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,854.35 / $8,540.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.90 / $1,438.79 / $2,322.88