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New Mexico rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.28 / $1,078.86 / $1,683.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.77 / $1,550.30 / $1,972.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $297.28 / $1,595.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.21 / $1,311.18 / $1,524.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.73 / $1,562.25 / $1,972.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.01 / $1,582.57 / $2,415.41