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New Mexico rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

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
$1,176.64 / $1,227.27 / $2,048.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.80 / $1,794.34 / $2,278.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $360.07 / $1,941.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.92 / $1,420.26 / $1,690.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.66 / $1,794.34 / $2,278.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $3,503.00 / $15,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.36 / $1,810.89 / $2,852.69