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New Mexico rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.34 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.39 / $730.34 / $1,528.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.98 / $1,058.91 / $1,328.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,132.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.39 / $921.70 / $1,217.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.87 / $1,101.84 / $1,769.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.07 / $1,047.21 / $1,662.12