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New Mexico rates for HCPCS 64451

Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.60 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,502.80 / $2,502.80 / $2,502.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.51 / $195.57 / $301.45
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$298.08 / $298.08 / $298.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.57 / $3,437.90 / $5,602.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.98 / $182.17 / $369.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.51 / $169.86 / $366.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $313.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.97 / $128.93 / $248.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.51 / $202.80 / $401.33
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
$245.59 / $311.48 / $473.22