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New Mexico rates for HCPCS 58674

Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency

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
$754.18 / $828.89 / $1,342.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,084.01 / $36,186.72 / $57,618.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.20 / $993.20 / $993.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.14 / $1,206.24 / $1,481.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,186.55 / $1,272.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.12 / $1,008.12 / $1,008.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.57 / $1,168.14 / $1,481.29
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
$1,045.34 / $1,302.39 / $1,835.16