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New Mexico rates for HCPCS 43107

Tot Esophagectomy W/O Thorcom W/Wo Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,362.99 / $3,362.99 / $3,362.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,420.37 / $3,142.54 / $4,140.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00