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New Mexico rates for HCPCS 50800

Ureteroenterostomy, direct anastomosis of ureter to intestine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.08 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.55 / $993.04 / $1,511.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.13 / $1,410.02 / $1,735.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $265.39 / $1,432.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.85 / $1,138.90 / $1,408.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.01 / $1,410.02 / $1,735.91
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
$1,130.90 / $1,467.90 / $2,125.10