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New Mexico rates for HCPCS 65091

Evisceration Ocular Contents W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.76 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,812.93 / $13,658.46 / $21,194.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.00 / $2,700.00 / $2,700.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $791.35 / $2,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $7,773.00 / $13,891.00