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New Mexico rates for HCPCS 28450

Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.51 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$148.01 / $148.01 / $163.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.38 / $199.28 / $375.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.59 / $596.14 / $1,001.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.90 / $242.06 / $341.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.05 / $287.14 / $370.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $36.62 / $305.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.00 / $224.10 / $289.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.38 / $305.08 / $494.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.88 / $309.56 / $463.49