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New Mexico rates for HCPCS 65290

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.62 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.62 / $768.30 / $2,597.27
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
$381.22 / $696.38 / $917.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $685.02 / $924.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.01 / $586.29 / $2,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.22 / $696.38 / $908.80
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
$498.31 / $681.11 / $978.22