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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
$1,584.89 / $1,659.59 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,122.02 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,187.76