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New Mexico rates for HCPCS 92012

Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient

Facilitymedian $72 · 10th–90th $41–$1260%5%10%10th90th$72Professionalmedian $76 · 10th–90th $42–$1230%10%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $75.86 / $114.82
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$9.77 / $104.71 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $61.66 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $79.43 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $89.13 / $478.63
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $77.62 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $74.13 / $125.89
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71