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New Mexico rates for HCPCS 28120

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.03 / $7,838.38 / $8,942.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.62 / $7,647.84 / $11,867.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.96 / $584.22 / $802.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00