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New Mexico rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $479 · 10th–90th $240–$8,7100%10%20%10th90th$479Professionalmedian $309 · 10th–90th $170–$5620%10%10th90th$309$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $501.19 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $302.00 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $275.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $549.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $346.74 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $6,918.31 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $363.08 / $616.60