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New Mexico rates for HCPCS 67115

Release of encircling material (posterior segment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.80 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.80 / $775.22 / $2,641.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.41 / $694.52 / $897.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $695.98 / $939.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.55 / $581.67 / $1,300.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.41 / $694.52 / $897.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.47 / $662.69 / $1,002.45