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New Mexico rates for HCPCS 43773

Laparoscopy, surgical, gastric restrictive procedure; removal and replacement 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
$1,705.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.03 / $1,832.67 / $2,721.43