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Louisiana rates for HCPCS 64400

Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.88 / $1,172.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.59 / $100.93 / $162.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.87 / $423.70 / $649.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $126.32 / $176.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.16 / $365.64 / $365.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $109.57 / $186.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $669.00 / $1,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.21 / $130.86 / $244.47