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New Mexico rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,613.69 / $2,881.55 / $4,236.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,227.34 / $3,227.34 / $3,227.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,880.68 / $4,230.22 / $5,464.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,474.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.57 / $3,112.77 / $4,236.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,149.38 / $4,638.32 / $7,308.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,616.00 / $15,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,917.02 / $4,140.50 / $6,045.12