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New Mexico rates for HCPCS 54390

Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.19 / $1,248.69 / $2,094.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.76 / $1,877.59 / $2,356.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $357.16 / $1,928.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.33 / $1,652.43 / $1,815.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.49 / $1,877.59 / $2,356.82
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
$1,492.50 / $1,932.84 / $2,904.65