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New Mexico rates for HCPCS V2104

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Facilitymedian $43 · 10th–90th $28–$590%10%20%10th90th$43Professionalmedian $38 · 10th–90th $18–$450%20%10th90th$38$10.0$20.0$50.0$100.0

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
$18.20 / $38.02 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $67.61 / $95.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $42.66 / $58.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $33.88