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New Mexico rates for HCPCS 65130

Insertion of ocular implant secondary; after evisceration, in scleral shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.39 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.39 / $1,348.75 / $4,210.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.00 / $2,700.00 / $2,700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.13 / $1,048.65 / $1,438.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,185.76 / $1,600.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.30 / $908.83 / $2,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.28 / $1,048.65 / $1,480.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $7,773.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.11 / $1,014.20 / $1,574.27