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New Mexico rates for HCPCS 50957

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.43 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.61 / $444.00 / $704.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.49 / $610.51 / $762.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $369.95 / $668.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.44 / $791.37 / $1,007.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.53 / $610.51 / $801.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.66 / $682.00 / $979.61