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New Mexico rates for HCPCS 43772

Laparoscopy, surgical, gastric restrictive procedure; removal 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,761.63 / $14,198.51 / $23,155.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.76 / $1,083.76 / $1,083.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.12 / $1,124.21 / $1,421.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.00 / $9,127.00 / $10,150.00