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New Mexico rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.58 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.34 / $969.58 / $3,908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.81 / $1,349.72 / $1,719.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,499.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.92 / $1,350.11 / $1,870.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.08 / $1,408.82 / $2,356.37
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
$1,079.11 / $1,350.93 / $1,940.23