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New Mexico rates for HCPCS 58953

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,019.95 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,128.61 / $19,498.45