go back

New Mexico rates for HCPCS 67040

Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $7,762.47 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $2,570.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $14,454.40 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,698.24 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,548.82 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $8,912.51 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $2,238.72