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New Mexico rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

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
$974.16 / $1,089.79 / $1,783.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.43 / $1,616.95 / $1,952.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $304.51 / $1,644.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.54 / $1,395.60 / $1,663.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.66 / $1,616.95 / $1,952.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.22 / $1,680.25 / $2,370.79