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New Mexico rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,071.52 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $851.14 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $537.03 / $812.83