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New Mexico rates for HCPCS 59120

Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.88 / $787.81 / $1,207.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.01 / $1,014.33 / $1,445.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.94 / $1,203.33 / $1,517.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $242.36 / $1,296.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.32 / $1,010.95 / $1,189.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.56 / $1,203.33 / $1,517.67
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
$948.59 / $1,243.83 / $1,894.42