go back

New Mexico rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $912.01 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,230.27