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New Mexico rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.03 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.72 / $389.03 / $628.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.01 / $6,440.74 / $9,994.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.77 / $487.64 / $650.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.94 / $549.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.39 / $369.28 / $478.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.49 / $512.79 / $865.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.12 / $521.35 / $748.78