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New Mexico rates for HCPCS 50574

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

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
$541.40 / $607.13 / $920.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.00 / $872.01 / $1,069.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $161.57 / $872.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.51 / $779.56 / $895.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.54 / $872.01 / $1,069.56
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
$653.64 / $927.99 / $1,288.50