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New Mexico rates for HCPCS 53400

Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,172.50 / $10,591.71 / $16,982.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.13 / $1,001.80 / $1,230.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00