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New Mexico rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

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
$75.25 / $87.43 / $126.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.01 / $5,168.20 / $8,286.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.49 / $123.38 / $148.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $32.34 / $120.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.29 / $122.39 / $146.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.49 / $120.64 / $148.13
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
$101.70 / $124.30 / $181.44