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New Mexico rates for HCPCS 92004

Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.77 / $142.16 / $195.03
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$182.71 / $182.71 / $231.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.96 / $133.96 / $133.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $103.81 / $154.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.33 / $143.12 / $231.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $189.81 / $249.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.63 / $128.37 / $178.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $152.66 / $231.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.04 / $168.00 / $247.66