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New Mexico rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,047.13 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $457.09 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $7,762.47 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $758.58