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New Mexico rates for HCPCS 43502

Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)

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
$1,355.90 / $1,564.50 / $2,286.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.15 / $1,739.15 / $1,739.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.91 / $2,226.67 / $2,824.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,417.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.78 / $1,739.15 / $2,286.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.63 / $2,375.12 / $3,963.72
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
$1,567.35 / $2,194.29 / $3,249.23