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New Mexico rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Facilitymedian $372 · 10th–90th $214–$1,5490%20%10th90th$372Professionalmedian $316 · 10th–90th $151–$3980%10%10th90th$316$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $316.23 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $512.86 / $776.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $346.74 / $501.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $181.97 / $275.42