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New Mexico rates for HCPCS 52301

Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $446.68 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $416.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $436.52 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $426.58 / $549.54
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
$338.84 / $457.09 / $660.69