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New Mexico rates for HCPCS 25630

Cltx Carpal Bone Fx W/O Manj Each Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.52 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$220.48 / $220.48 / $237.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.62 / $293.97 / $543.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.59 / $616.75 / $1,001.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.10 / $374.91 / $523.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.11 / $414.57 / $542.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $53.86 / $448.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.71 / $309.26 / $409.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.97 / $438.10 / $719.14
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
$315.73 / $429.74 / $617.19