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New Mexico rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,548.13 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $676.08 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $23,442.29 / $37,153.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $3,981.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $645.65 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $10,000.00 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,288.25 / $2,951.21