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New Mexico rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.94 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.94 / $504.94 / $1,759.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.04 / $602.83 / $813.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.00 / $679.50 / $879.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.39 / $560.03 / $702.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.82 / $724.80 / $1,223.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.67 / $696.49 / $1,041.30