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New Mexico rates for HCPCS 67025

Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $123.03 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,025.60 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,258.93