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New Mexico rates for HCPCS 43633

Gastrectomy, partial, distal; with Roux-en-Y reconstruction

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
$2,193.30 / $2,193.30 / $2,193.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.96 / $2,073.54 / $2,875.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00