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New Mexico rates for HCPCS 23540

Closed treatment of acromioclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.03 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$182.41 / $182.41 / $185.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.78 / $230.81 / $416.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.61 / $293.63 / $418.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.91 / $319.16 / $418.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $42.09 / $350.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $252.36 / $305.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.30 / $333.04 / $577.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.22 / $326.83 / $469.40