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New Mexico rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.35 / $571.24 / $866.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.00 / $820.11 / $1,005.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $152.01 / $821.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.75 / $732.77 / $842.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.75 / $820.11 / $1,005.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $2,516.00 / $2,655.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.85 / $821.59 / $1,211.06