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New Mexico rates for HCPCS 50705

Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $891.25 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $616.60 / $3,890.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $524.81 / $3,311.31