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New Mexico rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.07 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.62 / $216.21 / $389.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.40 / $227.40 / $227.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.06 / $3,377.34 / $5,503.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $218.32 / $417.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.33 / $225.76 / $386.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $369.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.76 / $196.13 / $659.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.96 / $262.75 / $553.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $2,516.00 / $2,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.78 / $356.23 / $541.95