go back

New Mexico rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.00 / $8,763.29 / $26,656.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.64 / $1,313.94 / $1,912.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.76 / $1,455.76 / $1,455.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.00 / $1,856.95 / $2,357.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,023.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.09 / $1,490.05 / $1,912.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.66 / $1,980.74 / $3,327.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.08 / $1,832.67 / $2,690.84