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New Mexico rates for HCPCS 25315

Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.51 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.91 / $783.51 / $3,167.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.02 / $1,171.10 / $1,445.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,211.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.17 / $1,104.58 / $1,377.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.74 / $1,220.05 / $1,903.19
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
$872.08 / $1,169.85 / $1,801.43