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New Mexico rates for HCPCS 25265

Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.13 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.96 / $766.13 / $1,252.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.64 / $917.99 / $1,699.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.55 / $1,131.67 / $1,400.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,186.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,001.85 / $1,335.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.45 / $1,178.85 / $1,854.22
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
$777.24 / $1,131.34 / $1,752.22