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New Mexico rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.80 / $1,540.80 / $1,540.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.82 / $1,527.05 / $2,019.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00