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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $56.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $44.67 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,570.40 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $39.81 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $114.82 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $87.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $117.49 / $363.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $77.62 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $2,511.89 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $112.20 / $331.13