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New Mexico rates for HCPCS 43888

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.71 / $481.04 / $688.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.22 / $528.22 / $2,318.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.19 / $658.08 / $848.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $733.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.45 / $540.28 / $688.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.53 / $702.47 / $1,217.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.29 / $658.20 / $985.64