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New Mexico rates for HCPCS 64483

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.40 / $2,350.00 / $3,558.82
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$650.97 / $650.97 / $2,706.64
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$21.65 / $21.65 / $49.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $219.71 / $510.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$260.80 / $442.75 / $885.64
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$19.48 / $42.53 / $97.43
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
$120.70 / $201.16 / $427.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $207.79 / $435.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $68.18 / $360.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.46 / $181.65 / $478.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.35 / $264.04 / $450.91
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
$259.76 / $376.21 / $541.95