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New Mexico rates for HCPCS 54316

Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

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
$915.35 / $1,044.93 / $1,678.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.94 / $1,558.76 / $1,925.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $286.30 / $1,544.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.47 / $1,317.86 / $1,564.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.68 / $1,558.76 / $1,925.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.64 / $1,582.35 / $2,275.98