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New Mexico rates for HCPCS 28305

Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.29 / $7,838.38 / $8,763.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.11 / $881.85 / $1,098.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00