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New Mexico rates for HCPCS Q4025

Cast supplies, hip spica (one or both legs), adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.11 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $57.54 / $117.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.38 / $33.88