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New Mexico rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.62 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.62 / $207.77 / $207.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.30 / $122.60 / $228.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $137.72 / $201.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.65 / $138.65 / $138.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.12 / $185.33 / $228.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,084.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $152.26 / $223.09