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New Mexico rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.28 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.01 / $254.28 / $530.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.01 / $2,536.48 / $3,911.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.83 / $295.45 / $422.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $43.69 / $364.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.54 / $238.00 / $324.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.36 / $322.45 / $507.30
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
$251.95 / $352.03 / $495.32