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New Mexico rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $213.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,380.38