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New Mexico rates for HCPCS 43320

Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach

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
$1,259.05 / $1,432.57 / $2,091.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.05 / $1,592.05 / $1,592.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.05 / $2,059.75 / $2,587.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,214.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.79 / $1,579.14 / $2,091.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.92 / $2,197.07 / $3,630.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.92 / $2,019.78 / $2,941.30