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New Mexico rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.00 / $732.96 / $2,609.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.00 / $877.46 / $1,333.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.81 / $1,046.72 / $1,320.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,133.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.24 / $810.32 / $1,081.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.70 / $1,081.60 / $1,779.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.72 / $1,044.68 / $1,626.29