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New Mexico rates for HCPCS 64490

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.26 / $2,430.84 / $2,711.55
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,128.59 / $1,128.59 / $2,865.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $175.65 / $329.15
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$98.04 / $175.54 / $837.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.01 / $2,589.53 / $4,349.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.97 / $161.62 / $257.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.97 / $205.77 / $334.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $268.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.43 / $167.87 / $294.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $218.48 / $368.22
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
$233.07 / $315.88 / $471.55