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New Mexico rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.31 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$237.23 / $237.23 / $256.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.04 / $316.31 / $549.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.43 / $329.09 / $329.09
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
$168.70 / $405.05 / $568.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.99 / $443.18 / $577.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $58.06 / $483.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.72 / $353.31 / $697.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $460.75 / $763.60
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
$324.22 / $458.15 / $678.59