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New Mexico rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.35 / $1,114.96 / $1,939.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.92 / $1,615.00 / $2,137.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $340.66 / $1,837.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.92 / $1,382.08 / $1,594.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.91 / $1,575.54 / $2,137.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $2,516.00 / $2,761.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.00 / $1,687.49 / $2,375.14