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New Mexico rates for HCPCS 58673

Laparoscopy Salpingostomy

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
$734.57 / $800.97 / $1,310.07
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
$969.90 / $969.90 / $969.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.91 / $1,193.89 / $1,516.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $231.74 / $1,241.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.90 / $1,108.42 / $1,206.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.29 / $1,200.36 / $1,516.47
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
$920.21 / $1,242.28 / $1,875.14