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New Mexico rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.89 / $5,000.27 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,133.80 / $18,389.97 / $28,536.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.58 / $792.70 / $1,081.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00