go back

New Mexico rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.41 / $7,533.00 / $11,592.77
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
$1,502.57 / $1,883.54 / $1,883.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00