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New Mexico rates for HCPCS 27258

Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.44 / $1,126.58 / $2,353.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.82 / $1,350.74 / $2,052.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.16 / $1,629.23 / $2,051.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,743.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.64 / $1,375.33 / $1,955.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.26 / $1,683.54 / $2,739.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.79 / $1,608.17 / $2,589.31