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New Mexico rates for HCPCS 0253T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $933.25 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,230.27 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $8,912.51 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $2,089.30