go back

New Mexico rates for HCPCS 64615

Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.35 / $630.70 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.95 / $135.15 / $547.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.92 / $920.96 / $1,547.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.93 / $155.37 / $266.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.10 / $200.96 / $268.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $223.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.76 / $152.97 / $209.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.62 / $214.97 / $320.16
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
$173.43 / $220.32 / $334.18