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New Mexico rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic 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
$1,481.00 / $1,510.80 / $2,635.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.29 / $2,125.21 / $2,908.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $462.96 / $2,497.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.97 / $1,856.88 / $2,071.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.90 / $2,139.94 / $2,908.12
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
$1,713.91 / $2,296.51 / $3,307.72