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New Mexico rates for HCPCS 43405

Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation

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
$1,369.27 / $1,477.08 / $2,156.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.58 / $1,648.58 / $1,648.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.85 / $2,159.21 / $2,745.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,287.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.84 / $1,634.95 / $2,156.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.96 / $2,360.31 / $3,748.83
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
$1,515.96 / $2,105.48 / $3,193.19