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New Mexico rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.78 / $3,463.20 / $8,644.27
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,096.95 / $4,328.24 / $5,244.60
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$114.33 / $114.33 / $114.33
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$428.74 / $428.74 / $428.74
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$85.75 / $85.75 / $85.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.77 / $658.61 / $2,753.15
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$4,329.68 / $4,329.68 / $4,329.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$285.83 / $426.19 / $1,443.23
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$232.91 / $639.28 / $2,164.85
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$85.75 / $127.86 / $432.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.93 / $505.93 / $505.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.73 / $8,503.52 / $13,195.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.37 / $636.28 / $906.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.00 / $6,300.00 / $6,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.71 / $909.98 / $1,252.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $760.15 / $1,026.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.68 / $918.72 / $2,481.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.71 / $935.53 / $1,280.06
Providence
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$805.89 / $805.89 / $821.94
Providence
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$201.47 / $201.47 / $205.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.00 / $6,210.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.14 / $896.09 / $1,201.74