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New Mexico rates for HCPCS 67500

Retrobulbar injection; medication (separate procedure, does not include supply of medication)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $100.89 / $346.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.36 / $1,558.66 / $2,672.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $87.16 / $130.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.06 / $110.74 / $142.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.93 / $65.79 / $148.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.34 / $80.28 / $117.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.53 / $111.40 / $138.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,084.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $114.65 / $145.68