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New Mexico rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.56 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.77 / $985.03 / $2,624.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.02 / $230.02 / $230.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.75 / $1,671.13 / $2,723.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.42 / $646.32 / $971.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.17 / $773.31 / $1,201.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $579.13 / $1,021.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.40 / $611.98 / $927.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.17 / $747.17 / $1,201.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.77 / $977.06 / $1,403.28