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New Mexico rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.79 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $153.32 / $264.04
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$198.48 / $704.52 / $901.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.42 / $947.57 / $1,544.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.84 / $146.31 / $228.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.60 / $211.00 / $295.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $195.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.42 / $179.12 / $260.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.66 / $235.41 / $315.06
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
$160.72 / $201.38 / $309.41