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New Mexico rates for HCPCS 67108

Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $7,762.47 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $2,818.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
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
$1,023.29 / $1,380.38 / $2,454.71
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
$1,000.00 / $1,905.46 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,737.80 / $2,454.71
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
$1,513.56 / $1,949.84 / $2,511.89