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New Mexico rates for HCPCS 28102

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $616.60 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $19,054.61 / $29,512.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $794.33 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $831.76 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $15,135.61 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,202.26