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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
$27.19 / $53.02 / $60.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.71 / $36.71 / $48.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $95.00 / $99.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.86 / $46.98 / $57.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $57.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $29.69 / $44.72