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New Mexico rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $134.90 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $100.00 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $120.23 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $120.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $97.72 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $109.65 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $144.54