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New Mexico rates for HCPCS 67105

Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.42 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.42 / $553.22 / $751.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.03 / $1,965.50 / $3,202.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.63 / $355.79 / $650.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.93 / $581.22 / $1,068.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $361.60 / $602.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.74 / $656.75 / $937.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.41 / $727.03 / $1,075.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,358.00 / $2,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.60 / $791.04 / $1,161.22