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New Mexico rates for HCPCS 25126

Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.59 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $612.59 / $998.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.26 / $905.66 / $1,118.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $946.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.47 / $858.29 / $1,139.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.77 / $941.09 / $1,486.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.49 / $912.44 / $1,400.68