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New Mexico rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

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
$235.81 / $964.25 / $1,816.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.37 / $5,871.90 / $9,568.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.41 / $1,040.72 / $1,855.36
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
$168.11 / $531.01 / $1,994.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $933.55 / $1,589.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.76 / $1,170.16 / $1,551.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.36 / $531.01 / $1,994.22
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
$1,436.64 / $1,804.15 / $2,422.98