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New Mexico rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.66 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.99 / $248.38 / $419.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.27 / $355.43 / $464.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $397.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.32 / $272.49 / $369.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.63 / $355.43 / $464.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $378.94 / $564.84