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New Mexico rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.50 / $2,095.00 / $8,684.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.70 / $749.44 / $1,296.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,133.80 / $18,389.97 / $28,536.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.53 / $729.21 / $1,107.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.91 / $965.21 / $1,376.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $131.89 / $1,174.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.14 / $799.00 / $1,144.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.68 / $1,029.73 / $1,540.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.68 / $1,172.49 / $1,843.19