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New Mexico rates for HCPCS 43653

Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,089.30 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $16,982.44 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.72 / $97.72 / $97.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $10,715.19 / $26,302.68