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New Mexico rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.52 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $83.46 / $190.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.01 / $2,518.91 / $3,911.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $45.49 / $159.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $141.00 / $302.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $32.34 / $146.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.88 / $126.01 / $389.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $119.56 / $302.02
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
$43.76 / $229.32 / $369.73