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New Mexico rates for HCPCS 64492

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.76 / $901.64 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $88.23 / $161.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$132.35 / $132.35 / $457.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.42 / $919.20 / $1,544.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $87.28 / $158.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.43 / $107.60 / $170.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $32.34 / $137.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.37 / $85.15 / $147.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $114.57 / $185.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $151.32 / $221.95