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New Mexico rates for HCPCS 50783

Ureteroneocystostomy; with extensive ureteral tailoring

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
$1,090.86 / $1,223.33 / $2,608.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.27 / $1,738.18 / $2,097.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $324.16 / $1,748.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.51 / $1,589.01 / $1,771.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.61 / $1,738.18 / $2,097.69
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
$1,461.50 / $1,841.48 / $2,569.88