go back

New Mexico rates for HCPCS 50525

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach

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
$1,411.80 / $1,501.35 / $2,460.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.04 / $2,192.25 / $2,714.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $432.21 / $2,331.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.10 / $1,725.95 / $2,034.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.73 / $2,192.25 / $2,714.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $3,503.00 / $15,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.16 / $2,155.88 / $3,420.71