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New Mexico rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

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
$168.45 / $1,913.97 / $2,279.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.40 / $373.43 / $2,919.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,451.94 / $2,554.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $2,100.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.40 / $373.43 / $3,012.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.96 / $2,665.31 / $3,837.55