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New Mexico rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,122.02 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $933.25 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,025.60 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,445.44