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New Mexico rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal 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
$1,351.43 / $1,459.71 / $2,136.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.92 / $1,630.92 / $1,630.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.44 / $2,136.48 / $2,743.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,262.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.60 / $1,684.59 / $2,137.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.49 / $2,341.48 / $3,703.59
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
$1,506.38 / $2,087.00 / $3,044.15