go back

New Mexico rates for HCPCS 43882

Revision or removal of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.89 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $806.89 / $1,107.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.24 / $902.24 / $902.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.35 / $1,175.60 / $1,593.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $765.19 / $1,122.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.29 / $757.53 / $1,107.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.62 / $1,175.60 / $1,383.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $4,616.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.25 / $1,260.05 / $2,052.07