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New Mexico rates for HCPCS 51065

Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $870.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $870.96 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $831.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $851.14 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,318.26