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New Mexico rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.90 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.10 / $748.90 / $1,564.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.12 / $896.57 / $1,362.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.32 / $1,066.97 / $1,348.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,159.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.19 / $911.93 / $1,236.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.13 / $1,102.54 / $1,818.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.92 / $1,088.89 / $1,682.09