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New Mexico rates for HCPCS 28103

Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft

Facilitymedian $7,762 · 10th–90th $562–$25,1190%10%20%10th90th$7,762Professionalmedian $398 · 10th–90th $355–$7080%20%40%10th90th$398$50.0$200.0$1.0K$5.0K$20.0K

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
$562.34 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $389.05 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $18,197.01 / $29,512.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $467.74 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $588.84 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $602.56 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $14,791.08 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $851.14