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New Mexico rates for HCPCS 23802

Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.52 / $1,298.24 / $4,587.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.69 / $1,861.04 / $2,357.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,012.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.10 / $1,547.84 / $2,380.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.34 / $1,923.07 / $3,155.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.57 / $1,872.50 / $2,605.98