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New Mexico rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.08 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.09 / $1,151.19 / $1,900.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,565.80 / $15,751.42 / $26,387.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.13 / $1,407.13 / $1,407.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.99 / $1,714.93 / $2,181.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $336.21 / $1,801.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.42 / $1,480.72 / $1,718.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.37 / $1,727.45 / $2,181.76
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
$1,374.74 / $1,782.90 / $2,708.13