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New Mexico rates for HCPCS V2204

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.65 / $58.47 / $62.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $42.56 / $56.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.13 / $81.13 / $115.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $53.38 / $62.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $66.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $32.38 / $48.77