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New Mexico rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,226.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.66 / $681.30 / $1,105.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,788.36 / $15,811.44 / $25,351.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.08 / $1,049.49 / $1,369.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $189.10 / $1,021.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.25 / $905.97 / $998.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.63 / $1,049.49 / $1,369.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.66 / $1,041.70 / $1,666.73