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New Mexico rates for HCPCS 67145

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $389.05 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $407.38 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$645.65 / $645.65 / $1,778.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,949.84 / $3,235.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $512.86 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $87.10 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $588.84 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,398.83 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $891.25