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New Mexico rates for HCPCS 64605

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.62 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $631.62 / $851.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.76 / $6,554.12 / $10,170.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.93 / $642.55 / $1,126.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $152.80 / $1,273.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.11 / $544.05 / $903.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.46 / $749.28 / $1,294.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.53 / $873.18 / $1,302.71