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New Mexico rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $86.05 / $103.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $165.73 / $192.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.83 / $88.97 / $100.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $92.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $44.29 / $66.73