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New Mexico rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $78.90 / $83.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.43 / $75.02 / $76.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.49 / $109.49 / $156.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.12 / $71.95 / $81.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $85.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $36.46 / $54.91