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New Mexico rates for HCPCS 25526

Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $16,218.10 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,380.38 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $275.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $1,995.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $15,135.61 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $1,862.09