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New Mexico rates for HCPCS V2521

Contact Lens Hydrophilic Toric Or Prism Ballast Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.99 / $190.74 / $221.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.83 / $154.83 / $185.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.68 / $264.68 / $377.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.85 / $177.64 / $206.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $190.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $108.72 / $163.78