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New Mexico rates for HCPCS 92928

Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,365.00 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$227.93 / $227.93 / $227.93
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$91.17 / $91.17 / $91.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.33 / $540.50 / $2,487.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,504.90 / $29,999.41 / $50,256.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.59 / $710.08 / $1,410.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.69 / $900.80 / $1,135.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $911.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.61 / $900.80 / $1,135.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $28,286.00 / $28,286.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.45 / $959.04 / $1,388.35