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New Mexico rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without 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
$540.02 / $605.25 / $918.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.00 / $868.92 / $1,065.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $161.07 / $870.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.79 / $776.10 / $891.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.17 / $868.92 / $1,065.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $3,085.00 / $4,616.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.01 / $894.85 / $1,283.74