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New Mexico rates for HCPCS 25420

Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.47 / $1,182.11 / $4,185.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,664.74 / $31,038.28 / $48,163.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.64 / $1,417.43 / $2,400.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.13 / $1,751.15 / $2,189.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,830.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,610.00 / $1,971.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.49 / $1,825.10 / $2,874.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $31,244.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.70 / $1,719.21 / $2,729.44