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New Mexico rates for HCPCS 25624

Closed treatment of carpal scaphoid (navicular) fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.99 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.75 / $463.82 / $747.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.77 / $1,777.55 / $2,672.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.26 / $600.69 / $829.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.51 / $633.03 / $852.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $86.11 / $717.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.07 / $490.95 / $624.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.99 / $670.10 / $1,126.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $2,516.00 / $2,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.80 / $699.72 / $1,128.11