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New Mexico rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.82 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.41 / $170.88 / $311.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.18 / $5,354.03 / $8,308.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.32 / $157.88 / $231.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.80 / $209.76 / $304.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $262.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.59 / $179.72 / $242.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.77 / $234.44 / $350.56
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
$181.44 / $256.27 / $394.20