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New Mexico rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.36 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $117.07 / $194.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.72 / $96.20 / $182.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $92.95 / $223.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $174.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.61 / $180.27 / $601.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.74 / $130.66 / $282.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.60 / $235.00 / $301.02