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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
$255.82 / $1,047.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.83 / $426.57 / $1,297.71
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$639.87 / $639.87 / $639.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.67 / $200.67 / $225.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.03 / $1,965.50 / $3,202.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.64 / $282.76 / $423.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.13 / $565.04 / $899.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $309.81 / $432.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.14 / $488.51 / $875.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $581.61 / $868.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,358.00 / $2,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.58 / $672.56 / $1,052.09