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New Mexico rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $249.11 / $414.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.81 / $374.67 / $463.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $73.70 / $392.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.01 / $353.84 / $377.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.81 / $374.67 / $463.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.39 / $381.17 / $578.28