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New Mexico rates for HCPCS 64643

Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.69 / $1,047.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $84.79 / $167.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.04 / $106.10 / $170.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $112.84 / $163.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $133.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.12 / $86.54 / $119.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.30 / $120.68 / $185.75
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
$108.66 / $135.21 / $187.21