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New Mexico rates for HCPCS 20805

Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,284.59 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.67 / $3,284.59 / $10,688.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.62 / $3,952.55 / $6,055.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,824.88 / $4,378.57 / $5,889.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $5,099.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.64 / $3,859.40 / $4,785.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,248.62 / $4,519.82 / $7,997.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.00 / $21,608.00 / $23,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,409.57 / $4,640.79 / $7,174.79