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New Mexico rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

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
$277.93 / $315.07 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.34 / $449.70 / $552.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $82.97 / $447.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.14 / $403.65 / $462.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.22 / $449.70 / $552.04
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
$381.49 / $474.64 / $667.54