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New Mexico rates for HCPCS 27416

Osteochondral Autograft Knee Open Mosaicplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.16 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $994.16 / $4,221.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,709.52 / $17,268.87 / $28,139.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.10 / $1,483.70 / $1,698.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.04 / $1,426.56 / $1,803.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,541.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.56 / $1,106.19 / $1,474.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.25 / $1,474.11 / $2,416.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.83 / $1,422.47 / $2,249.09