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New Mexico rates for HCPCS 27538

Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation

Facilitymedian $724 · 10th–90th $457–$2,1380%10%10th90th$724Professionalmedian $501 · 10th–90th $417–$8710%20%10th90th$501$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $851.14 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $478.63 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $602.56 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $588.84 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $645.65 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $426.58
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $562.34 / $831.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $676.08 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $954.99