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New Mexico rates for HCPCS 64505

Injection, anesthetic agent; sphenopalatine ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $239.88 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $128.82 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $954.99 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $147.91 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $141.25 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $123.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $128.82 / $208.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,148.15 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $138.04 / $218.78