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New Mexico rates for HCPCS 64454

Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.93 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.04 / $190.35 / $340.37
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.91 / $630.38 / $630.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.57 / $3,334.95 / $5,602.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.73 / $183.93 / $323.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $172.61 / $370.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.26 / $133.09 / $250.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $209.00 / $405.35
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
$248.05 / $314.60 / $477.95