go back

New Mexico rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.36 / $1,050.76 / $3,734.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.95 / $1,521.43 / $1,926.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,620.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.36 / $1,163.32 / $1,580.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.31 / $1,580.92 / $2,544.78
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
$1,140.18 / $1,541.80 / $2,398.48