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New Mexico rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

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
$2,589.94 / $2,589.94 / $2,589.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.96 / $2,515.92 / $3,400.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00