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New Mexico rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.25 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.25 / $1,110.45 / $3,402.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.49 / $813.31 / $980.87
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
$443.95 / $787.21 / $1,180.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $971.64 / $1,311.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.90 / $691.08 / $1,300.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.85 / $787.21 / $1,218.79
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
$591.69 / $848.11 / $1,270.27