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Louisiana rates for HCPCS 64421

Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $46.77 / $181.97
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $2,454.71 / $2,454.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,148.15 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $40.74 / $158.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $50.12 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,096.48 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $41.69 / $234.42