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New Mexico rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.42 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.38 / $241.42 / $470.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $241.00 / $302.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.02 / $234.18 / $400.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $40.91 / $340.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.92 / $208.08 / $251.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.18 / $256.39 / $523.74
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
$191.25 / $272.33 / $413.91