go back

New Mexico rates for HCPCS 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $645.65 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $23,442.29