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New Mexico rates for HCPCS 64415

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.47 / $954.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.43 / $110.26 / $149.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.33 / $1,379.95 / $2,074.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.63 / $112.72 / $215.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.79 / $118.90 / $207.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $187.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $113.90 / $218.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.79 / $136.72 / $226.73
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
$136.12 / $180.32 / $260.82