go back

New Mexico rates for HCPCS 43774

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $7,762.47 / $25,703.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $14,791.08 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.96 / $165.96 / $165.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $10,964.78 / $23,442.29