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New Mexico rates for HCPCS 64421

Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure)

Facilitymedian $347 · 10th–90th $35–$3,8900%5%10%10th90th$347Professionalmedian $43 · 10th–90th $24–$1910%10%10th90th$43$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $56.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $42.66 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,570.40 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $104.71 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $87.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $104.71 / $346.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $87.10 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $2,511.89 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $112.20 / $331.13