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New Mexico rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.63 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.47 / $947.71 / $1,446.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.29 / $1,344.08 / $1,652.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $253.85 / $1,370.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.96 / $1,114.85 / $1,350.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.46 / $1,344.08 / $1,652.71
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
$1,083.17 / $1,398.65 / $2,011.35