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New Mexico rates for HCPCS 64405

Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $769.25 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $80.56 / $145.16
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$148.46 / $159.74 / $462.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.33 / $1,338.62 / $2,248.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.14 / $90.68 / $126.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $117.92 / $186.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $32.34 / $116.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.38 / $98.75 / $151.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.61 / $125.78 / $186.70
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
$92.05 / $130.41 / $195.29