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New Mexico rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,019.95 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $5,011.87 / $17,782.79