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New Mexico rates for HCPCS 28124

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.98 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.45 / $425.81 / $793.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.62 / $8,098.55 / $13,196.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.31 / $430.50 / $699.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.71 / $549.03 / $823.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $80.15 / $667.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.07 / $450.65 / $597.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.40 / $568.04 / $924.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.28 / $693.00 / $1,050.31