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New Mexico rates for HCPCS 43843

Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.40 / $1,318.78 / $1,922.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.94 / $1,463.94 / $1,463.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.09 / $1,861.41 / $2,370.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,035.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.11 / $1,442.15 / $1,923.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.08 / $1,985.51 / $3,339.06
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
$1,347.12 / $1,833.57 / $2,731.65