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New Mexico rates for HCPCS 25922

Disarticulation through wrist; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.90 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.54 / $664.90 / $1,809.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.02 / $771.92 / $1,159.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,005.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.80 / $692.85 / $859.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.72 / $837.27 / $1,556.88
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
$604.34 / $851.63 / $1,326.59