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New Mexico rates for HCPCS 43887

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.08 / $342.66 / $487.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.26 / $406.39 / $578.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $379.05 / $1,162.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.84 / $465.00 / $600.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $524.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.08 / $385.94 / $487.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.50 / $499.19 / $869.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.57 / $476.00 / $776.58