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New Mexico rates for HCPCS 51050

Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.08 / $7,838.38 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.43 / $8,615.39 / $13,813.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.23 / $583.25 / $715.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00