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New Mexico rates for HCPCS 43325

Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)

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
$1,199.75 / $1,393.77 / $2,034.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.29 / $1,547.29 / $1,547.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.66 / $1,968.69 / $2,516.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,152.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.81 / $1,556.31 / $2,034.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.33 / $2,101.16 / $3,531.33
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
$1,426.32 / $1,944.80 / $2,892.26