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New Mexico rates for HCPCS V2114

Spherocylinder Single Vision Sphere Over Plus Or Minus 12.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.27 / $71.98 / $95.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.18 / $65.18 / $86.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $152.28 / $177.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $81.66 / $92.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $76.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $40.70 / $61.31