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New Mexico rates for HCPCS 28106

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.04 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.75 / $438.04 / $896.61
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
$443.05 / $513.79 / $818.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.00 / $626.79 / $805.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $664.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.55 / $613.33 / $816.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.27 / $670.02 / $1,038.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.49 / $653.53 / $999.55