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New Mexico rates for HCPCS 25909

Amputation, forearm, through radius and ulna; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.20 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.63 / $699.20 / $2,488.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.27 / $1,029.41 / $1,278.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,080.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.00 / $900.59 / $1,195.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.38 / $1,074.00 / $1,698.18
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
$803.19 / $1,019.01 / $1,392.01