go back

New Mexico rates for HCPCS 58572

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.59 / $2,922.00 / $8,226.04
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
$1,265.28 / $1,672.48 / $1,672.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00