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New Mexico rates for HCPCS 67027

Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.42 / $2,095.00 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,965.91 / $13,992.02 / $21,712.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $3,800.00 / $3,800.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.03 / $1,025.94 / $3,464.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $8,842.00 / $16,897.00