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New Mexico rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.67 / $736.10 / $1,207.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.34 / $1,096.24 / $1,395.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $213.57 / $1,143.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.68 / $1,034.32 / $1,117.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.19 / $1,103.73 / $1,395.28
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
$886.05 / $1,160.46 / $1,726.11