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New Mexico rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.38 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $676.38 / $3,242.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,855.07 / $10,468.96 / $17,059.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.48 / $849.02 / $1,210.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.36 / $999.54 / $1,267.54
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 / $774.85 / $1,032.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.00 / $1,032.85 / $1,724.74
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
$738.31 / $1,050.40 / $1,638.47