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New Mexico rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.80 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.79 / $995.95 / $3,340.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.12 / $586.12 / $586.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.24 / $737.08 / $1,050.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $936.43 / $1,274.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $617.72 / $1,389.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $818.69 / $957.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.47 / $920.43 / $1,261.00
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
$726.02 / $930.72 / $1,470.83