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New Mexico rates for HCPCS 65140

Insertion of ocular implant secondary; after enucleation, muscles attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.56 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.56 / $1,466.97 / $4,607.45
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
$627.42 / $1,128.27 / $1,584.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,290.36 / $1,741.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.43 / $977.83 / $2,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.74 / $1,128.27 / $1,610.09
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
$803.18 / $1,112.58 / $1,723.47