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New Mexico rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.51 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.51 / $1,366.85 / $4,649.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $3,800.00 / $3,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.70 / $1,184.45 / $1,532.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,223.06 / $1,651.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.70 / $1,016.03 / $2,100.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.70 / $1,184.45 / $1,532.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $5,971.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.26 / $1,162.35 / $1,745.29