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New Mexico rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.87 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.87 / $2,343.44 / $3,734.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.83 / $943.76 / $3,609.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,319.82 / $2,942.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.95 / $489.95 / $2,166.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.83 / $819.84 / $3,609.94
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
$2,574.42 / $3,232.98 / $4,729.74