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New Mexico rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.88 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.03 / $114.81 / $437.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.21 / $84.95 / $121.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $875.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.18 / $119.72 / $155.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $72.40 / $162.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.59 / $81.39 / $145.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $122.09 / $154.09
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
$90.88 / $113.85 / $161.38