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New Mexico rates for HCPCS 28122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $954.99 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $7,943.28 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $501.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $676.08 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,096.48