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New Mexico rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.88 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $669.88 / $3,242.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.19 / $1,006.78 / $1,300.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,098.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.14 / $781.45 / $1,090.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.00 / $1,040.33 / $1,700.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.81 / $1,022.56 / $1,624.06