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New Mexico rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.86 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $368.56 / $466.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,735.95 / $15,811.44 / $25,351.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.28 / $453.28 / $453.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.93 / $545.13 / $689.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $108.30 / $579.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.65 / $479.37 / $540.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.93 / $545.13 / $689.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.98 / $567.32 / $864.28