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New Mexico rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.07 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $195.33 / $325.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.01 / $2,589.53 / $4,349.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $152.57 / $346.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $264.32 / $404.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $41.32 / $344.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.55 / $216.88 / $368.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.46 / $280.83 / $430.88
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
$206.50 / $335.92 / $496.14