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New Mexico rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.89 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.89 / $488.37 / $1,551.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.72 / $486.40 / $778.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $374.99 / $843.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.30 / $475.96 / $630.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.72 / $486.40 / $778.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $5,971.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.64 / $635.04 / $912.05