go back

New Mexico rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

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
$1,879.22 / $2,174.37 / $3,187.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.89 / $2,614.35 / $3,724.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,420.59 / $2,420.59 / $2,420.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.48 / $3,102.04 / $3,937.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,364.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.88 / $2,311.35 / $3,175.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.23 / $3,308.84 / $5,505.36
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
$2,226.11 / $3,057.42 / $4,532.56