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New Mexico rates for HCPCS 64561

Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.36 / $5,984.68 / $20,130.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.69 / $636.50 / $1,125.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,422.35 / $23,005.76 / $35,699.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.82 / $738.25 / $2,261.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.39 / $835.06 / $1,597.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $121.83 / $1,061.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.52 / $548.79 / $1,894.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.50 / $835.06 / $1,607.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.77 / $1,345.68 / $1,989.54