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New Mexico rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

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
$737.02 / $822.57 / $1,346.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.86 / $1,226.78 / $1,652.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $230.27 / $1,244.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.60 / $1,074.93 / $1,242.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.53 / $1,226.78 / $1,652.44
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
$1,030.00 / $1,320.12 / $1,870.29