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New Mexico rates for HCPCS 43632

Gastrectomy, partial, distal; with gastrojejunostomy

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
$2,318.78 / $2,318.78 / $2,318.78
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.05 / $227.05 / $227.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.89 / $2,175.09 / $3,042.28
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.05 / $227.05 / $227.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00