go back

New Mexico rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.11 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.44 / $96.11 / $165.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.33 / $1,338.62 / $2,074.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.45 / $104.09 / $145.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $124.06 / $228.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $32.34 / $137.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.44 / $100.80 / $245.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.47 / $133.38 / $228.13
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
$125.41 / $187.44 / $272.55