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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
$623.10 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.49 / $623.10 / $1,299.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,133.80 / $18,389.97 / $28,536.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.41 / $743.86 / $925.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.26 / $802.08 / $1,095.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $963.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.49 / $729.38 / $1,182.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.49 / $847.04 / $1,512.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,028.00 / $15,131.00 / $16,269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.48 / $844.84 / $1,322.10