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New Mexico rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.17 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.12 / $237.62 / $344.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.01 / $2,520.90 / $3,911.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.28 / $250.55 / $512.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.96 / $278.94 / $395.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $35.91 / $299.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.00 / $210.30 / $416.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.84 / $293.58 / $457.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $2,516.00 / $2,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.79 / $337.12 / $494.53