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New Mexico rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $426.58 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $407.38 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $537.03 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $426.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $575.44 / $954.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $575.44 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $891.25