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New Mexico rates for HCPCS V2215

Lenticular (myodisc), per lens, bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $95.50 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $162.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $100.00 / $138.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.29 / $75.86