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New Mexico rates for HCPCS 58553

Laps W/Vaginal Hysterectomy > 250 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.42 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.57 / $1,133.21 / $1,851.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,835.87 / $16,399.33 / $27,473.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.04 / $1,370.44 / $1,593.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.39 / $1,689.27 / $2,152.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $327.44 / $1,755.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.27 / $1,483.08 / $1,694.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.94 / $1,702.10 / $2,152.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.04 / $1,798.49 / $2,648.70