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New Mexico rates for HCPCS 28805

Amputation, foot; transmetatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.13 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.62 / $8,098.55 / $13,196.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.41 / $861.63 / $1,139.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00