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New Mexico rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.09 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $590.85 / $1,038.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,613.12 / $9,048.54 / $14,041.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.20 / $588.84 / $824.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.52 / $740.13 / $1,136.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $110.48 / $920.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.57 / $539.10 / $809.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.97 / $811.51 / $1,287.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.98 / $927.57 / $1,332.20