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New Mexico rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.70 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.81 / $303.70 / $1,416.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.45 / $444.70 / $569.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $494.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.00 / $361.23 / $478.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.56 / $466.14 / $780.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.00 / $21,608.00 / $23,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.92 / $446.88 / $677.70