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New Mexico rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

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
$952.86 / $1,084.29 / $1,610.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.56 / $1,533.84 / $1,923.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $282.80 / $1,526.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.44 / $1,258.01 / $1,532.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.58 / $1,533.84 / $1,923.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.02 / $1,559.24 / $2,296.35