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New Mexico rates for HCPCS 65756

Keratoplasty (corneal transplant); endothelial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$928.12 / $928.12 / $928.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.21 / $1,237.49 / $2,848.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,795.51 / $13,917.38 / $22,678.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.41 / $1,384.96 / $1,973.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,700.00 / $6,700.00 / $6,700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.35 / $1,622.52 / $2,089.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,654.57 / $2,233.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.67 / $1,406.19 / $6,700.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.35 / $1,622.52 / $2,089.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $8,842.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.59 / $1,571.68 / $2,011.79