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New Mexico rates for HCPCS 43865

Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy

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
$1,519.44 / $1,751.97 / $2,563.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,948.55 / $1,948.55 / $1,948.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.66 / $2,499.33 / $3,168.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,707.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.43 / $1,974.68 / $2,563.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.16 / $2,665.96 / $4,436.13
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
$1,748.11 / $2,477.17 / $3,603.18