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New Mexico rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

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
$1,051.13 / $1,223.08 / $1,782.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.43 / $1,465.48 / $2,001.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.84 / $1,357.84 / $1,357.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.05 / $1,719.64 / $2,197.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,889.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.76 / $1,333.00 / $1,782.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.39 / $1,834.28 / $3,098.94
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
$1,226.82 / $1,696.19 / $2,752.36