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New Mexico rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.91 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.23 / $647.91 / $2,486.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,613.12 / $9,048.54 / $14,041.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.13 / $774.27 / $1,176.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.75 / $919.12 / $1,160.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,000.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.09 / $824.33 / $1,020.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.36 / $949.76 / $1,572.85
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
$692.30 / $908.00 / $1,448.99