go back

New Mexico rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.42 / $7,838.38 / $8,644.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,371.83 / $16,030.61 / $26,121.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.78 / $1,425.99 / $4,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $8,842.00 / $16,897.00