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New Mexico rates for HCPCS 23655

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $1,322.40 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$315.57 / $315.57 / $315.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.18 / $5,354.03 / $8,308.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.00 / $445.32 / $596.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $6,999.76