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New Mexico rates for HCPCS 64809

Sympathectomy Thoracolumbar

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
$784.65 / $1,023.52 / $5,361.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.80 / $1,268.70 / $2,001.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,761.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.80 / $1,165.33 / $1,955.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.90 / $1,332.61 / $2,694.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $5,089.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.78 / $1,378.08 / $2,129.77