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New Mexico rates for HCPCS V2109

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $52.48 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $95.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $53.70 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $29.51 / $44.67