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New Mexico rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.77 / $2,080.21 / $7,032.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.90 / $2,221.90 / $2,793.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,854.54 / $2,503.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.39 / $1,513.34 / $2,154.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.32 / $2,456.32 / $2,456.32
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
$1,323.88 / $1,695.10 / $2,651.03