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New Mexico rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.38 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.99 / $552.21 / $889.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $763.43 / $967.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $843.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.99 / $596.40 / $839.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.97 / $791.14 / $1,325.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.64 / $766.49 / $1,241.72