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New Mexico rates for HCPCS V2203

Spherocylinder Bifocal Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $57.46 / $61.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.17 / $273.58 / $285.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $41.83 / $55.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $79.73 / $113.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $52.45 / $61.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $65.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $30.97 / $46.65