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New Mexico rates for HCPCS 65135

Insertion of ocular implant secondary; after enucleation, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.14 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.14 / $1,364.56 / $4,265.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.85 / $1,065.66 / $1,458.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,200.53 / $1,620.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.71 / $923.57 / $1,300.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.35 / $1,065.66 / $1,497.69
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
$748.15 / $1,065.02 / $1,594.69