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New Mexico rates for HCPCS 64634

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.97 / $1,031.63 / $3,148.26
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,447.63 / $2,447.63 / $2,447.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.37 / $191.53 / $445.34
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.56 / $97.94 / $287.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.88 / $938.62 / $1,576.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.69 / $173.49 / $401.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.64 / $173.89 / $355.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $41.96 / $349.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.54 / $208.48 / $279.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.79 / $175.25 / $448.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.12 / $309.72 / $437.67