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New Mexico rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.58 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.26 / $1,141.75 / $1,778.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.39 / $1,625.51 / $2,015.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $312.06 / $1,685.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.79 / $1,413.73 / $1,686.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.22 / $1,625.51 / $2,015.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.99 / $1,742.50 / $2,470.33