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New Mexico rates for HCPCS 64633

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.12 / $1,809.44 / $7,297.51
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,574.14 / $5,562.93 / $5,562.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.72 / $410.04 / $980.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$280.01 / $315.20 / $2,780.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.06 / $2,685.73 / $4,511.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.31 / $388.74 / $722.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.84 / $403.85 / $767.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.67 / $605.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.81 / $366.14 / $615.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.39 / $466.46 / $816.70
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
$486.67 / $677.80 / $956.89