go back

New Mexico rates for HCPCS 43647

Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.89 / $641.11 / $902.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,626.37 / $31,115.41 / $50,745.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.36 / $415.36 / $415.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.78 / $730.78 / $730.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.74 / $936.67 / $1,238.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $509.07 / $721.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.89 / $597.29 / $902.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.41 / $930.62 / $1,113.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,012.00 / $21,608.00 / $23,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.61 / $728.28 / $1,565.26