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New Mexico rates for HCPCS 67912

Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.95 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.94 / $6,357.37 / $9,865.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.00 / $2,700.00 / $2,700.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.70 / $996.53 / $1,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $5,971.00 / $8,422.00