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New Mexico rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,230.27 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $1,862.09
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
$741.31 / $1,000.00 / $1,513.56