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New Mexico rates for HCPCS 64628

Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.88 / $7,838.38 / $8,644.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,889.93 / $67,191.50 / $101,501.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.52 / $398.85 / $730.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $16,269.00