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New Mexico rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.28 / $810.34 / $1,253.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.33 / $1,147.53 / $1,420.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $219.89 / $1,188.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.13 / $943.40 / $1,189.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.77 / $1,147.53 / $1,420.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.60 / $1,231.20 / $1,784.42