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New Mexico rates for HCPCS 58615

Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $380.19 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $363.08 / $575.44