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New Mexico rates for HCPCS 28810

Amputation, metatarsal, with toe, single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$215.93 / $215.93 / $215.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.51 / $423.69 / $770.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.62 / $7,647.84 / $11,867.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.51 / $511.45 / $771.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.07 / $632.87 / $823.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $657.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.14 / $560.00 / $680.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.46 / $676.51 / $1,040.82
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
$489.46 / $638.29 / $1,038.06