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New Mexico rates for HCPCS 64400

Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.64 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.84 / $99.76 / $162.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$830.88 / $830.88 / $830.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.42 / $919.20 / $1,544.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.98 / $110.32 / $154.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $125.90 / $197.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $32.34 / $158.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.36 / $97.58 / $159.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.58 / $126.51 / $214.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.96 / $158.60 / $244.80