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New Mexico rates for HCPCS 64755

Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,445.44 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,412.54 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,128.61 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,819.70