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New Mexico rates for HCPCS 58571

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.00 / $7,533.00 / $12,967.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,835.87 / $16,399.33 / $27,473.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.50 / $1,471.90 / $1,471.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00