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New Mexico rates for HCPCS 64681

Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.36 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.36 / $363.14 / $709.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.91 / $398.18 / $822.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $75.11 / $625.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.44 / $412.26 / $691.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.33 / $433.81 / $862.88
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
$462.76 / $659.40 / $1,015.56