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New Mexico rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.28 / $1,525.26 / $4,810.18
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
$657.95 / $1,220.96 / $1,659.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,342.97 / $1,813.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.38 / $1,050.50 / $2,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.17 / $1,220.96 / $1,674.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $8,084.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.94 / $1,185.66 / $1,801.59