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New Mexico rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.49 / $44.28 / $48.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $30.29 / $40.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.76 / $60.00 / $82.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.20 / $38.78 / $45.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $51.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $24.56 / $36.99