go back

New Mexico rates for HCPCS 64646

Chemodenervation of trunk muscle(s); 1-5 muscle(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.94 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $139.65 / $212.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.50 / $1,805.88 / $2,942.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.72 / $152.38 / $220.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.16 / $181.97 / $265.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $249.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.85 / $141.41 / $193.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $197.74 / $307.05
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
$158.77 / $223.60 / $335.76