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New Mexico rates for HCPCS 58750

Tubotubal anastomosis

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
$845.93 / $903.68 / $1,501.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.02 / $1,349.93 / $1,708.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,422.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.07 / $1,209.18 / $1,350.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.56 / $1,352.03 / $1,708.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.00 / $1,402.38 / $2,135.15