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New Mexico rates for HCPCS 54650

Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.39 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.43 / $723.40 / $2,986.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,801.54 / $11,518.96 / $19,297.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.32 / $1,078.21 / $1,329.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $205.48 / $1,108.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.63 / $903.17 / $1,058.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.63 / $1,078.21 / $1,329.36
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
$873.50 / $1,130.24 / $1,627.39