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New Mexico rates for HCPCS 64624

Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.45 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.37 / $333.54 / $675.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.02 / $9,173.59 / $15,409.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.71 / $350.22 / $565.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.69 / $302.95 / $679.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $415.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.99 / $239.57 / $480.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.69 / $374.97 / $743.42
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
$451.23 / $601.65 / $914.04