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New Mexico rates for HCPCS 27197

Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.78 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $120.84 / $215.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.93 / $123.93 / $323.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.63 / $1,098.66 / $1,790.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $159.97 / $241.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.31 / $172.53 / $237.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $204.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.42 / $134.25 / $174.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $178.09 / $309.94
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
$137.35 / $180.91 / $264.66