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New Mexico rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,943.28 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,288.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $977.24 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,606.93 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,230.27