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New Mexico rates for HCPCS 01636

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $47.86 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $933.25 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $177.83 / $4,073.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $87.10