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New Mexico rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.43 / $5,000.27 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.55 / $8,768.64 / $14,070.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.85 / $1,084.58 / $1,300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $7,773.00 / $13,891.00