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New Mexico rates for HCPCS 64642

Chemodenervation of one extremity; 1-4 muscle(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.94 / $1,047.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $134.16 / $270.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.50 / $1,751.80 / $2,942.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.64 / $165.45 / $269.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.66 / $171.29 / $246.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $235.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.54 / $134.16 / $180.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.94 / $184.64 / $288.29
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
$161.94 / $213.30 / $312.05