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New Mexico rates for HCPCS 25316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,348.96 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $269.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $1,905.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $15,135.61 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,819.70