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New Mexico rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.15 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $126.96 / $201.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.84 / $123.18 / $235.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.84 / $135.27 / $234.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $135.56 / $238.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.77 / $137.87 / $189.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $135.27 / $271.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $195.02 / $280.10