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New Mexico rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.89 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$199.58 / $199.58 / $221.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.28 / $266.10 / $366.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.59 / $614.54 / $1,001.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.53 / $349.74 / $483.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.43 / $362.75 / $492.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $50.14 / $417.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.51 / $282.39 / $352.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.73 / $385.43 / $642.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.88 / $401.31 / $561.60