go back

New Mexico rates for HCPCS 43400

Ligation, direct, esophageal varices

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
$1,413.20 / $1,560.74 / $2,280.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.82 / $1,734.82 / $1,734.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.30 / $2,260.60 / $2,811.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,411.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.94 / $1,710.60 / $2,280.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.15 / $2,411.31 / $3,953.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.00 / $15,131.00 / $16,269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.77 / $2,220.50 / $3,153.12