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New Mexico rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.77 / $384.23 / $583.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.22 / $550.72 / $676.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $102.29 / $552.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.81 / $488.49 / $565.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.22 / $550.72 / $676.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $2,516.00 / $2,655.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.50 / $565.38 / $816.87