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Louisiana rates for HCPCS 64415

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.09 / $963.83 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.89 / $113.45 / $188.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.64 / $840.22 / $1,866.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.88 / $119.95 / $205.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.70 / $76.36 / $76.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.47 / $111.17 / $195.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,086.00 / $2,755.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.58 / $137.38 / $251.21