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New Mexico rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $1,077.49 / $2,082.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.45 / $6,150.87 / $10,022.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $1,191.04 / $1,521.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.12 / $135.91 / $2,285.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $876.56 / $1,806.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $1,300.00 / $1,730.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.51 / $135.91 / $2,285.60
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
$1,597.18 / $1,994.22 / $2,800.92