go back

New Mexico rates for HCPCS 45126

Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), or any combination thereof

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
$2,597.73 / $2,788.59 / $4,025.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.12 / $3,111.12 / $3,111.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,829.07 / $4,031.28 / $5,345.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,242.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,602.85 / $3,309.89 / $4,099.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,130.10 / $4,456.35 / $7,025.25
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
$2,965.93 / $4,007.99 / $5,851.67