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New Mexico rates for HCPCS 52356

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,824.47 / $7,655.48 / $12,435.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,684.20 / $7,340.84 / $7,340.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.20 / $429.45 / $1,644.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,635.73 / $15,919.19 / $26,668.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.13 / $497.82 / $821.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $604.60 / $754.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $594.73 / $642.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.67 / $506.67 / $506.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.39 / $596.60 / $754.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.03 / $658.89 / $934.57