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New Mexico rates for HCPCS 67043

Vitrectomy Pars Plana Remove Subretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,942.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,040.74 / $14,816.60 / $24,143.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,700.00 / $6,700.00 / $6,700.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.65 / $1,933.47 / $6,700.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $8,842.00 / $16,897.00