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New Mexico rates for HCPCS 25365

Osteotomy Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.46 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.91 / $932.46 / $3,297.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.47 / $1,377.95 / $1,709.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,441.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.22 / $1,302.00 / $1,592.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.64 / $1,423.89 / $2,265.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.83 / $1,357.08 / $2,139.31