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New Mexico rates for HCPCS 25425

Repair of defect with autograft; radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.73 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.32 / $979.73 / $3,465.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,552.54 / $16,307.81 / $25,305.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.05 / $1,491.05 / $1,824.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,513.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.44 / $1,429.44 / $1,906.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.04 / $1,540.76 / $2,381.27
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
$1,002.24 / $1,449.51 / $2,250.71