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New Mexico rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

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
$1,065.82 / $1,237.10 / $1,803.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.52 / $1,373.52 / $1,373.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.61 / $1,744.51 / $2,222.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,910.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.20 / $1,347.86 / $1,803.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.46 / $1,860.81 / $3,132.87
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
$1,237.30 / $1,739.50 / $2,563.03