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New Mexico rates for HCPCS 20802

Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,764.91 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.01 / $2,764.91 / $8,166.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,266.44 / $3,513.00 / $4,949.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,290.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,480.30 / $3,119.77 / $3,960.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,582.91 / $3,626.32 / $6,729.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.00 / $21,608.00 / $23,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,624.82 / $3,642.30 / $5,597.61