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New Mexico rates for HCPCS 50431

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.05 / $2,063.25 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.55 / $171.53 / $399.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.72 / $2,884.74 / $4,700.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.26 / $145.88 / $416.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.47 / $121.25 / $390.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $451.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.07 / $197.97 / $836.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.20 / $169.82 / $693.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $2,516.00 / $2,919.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $276.60 / $517.96