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Louisiana rates for HCPCS 64405

Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $1,258.93 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $169.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.18 / $158.49 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$48.98 / $97.72 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $426.58 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $83.18 / $117.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $91.20 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $77.62 / $147.91