go back

New Mexico rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.11 / $1,980.11 / $1,980.11
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,669.21 / $2,035.81 / $2,604.78
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.00 / $15,131.00 / $15,131.00