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Louisiana rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.56 / $1,172.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,566.78 / $2,566.78 / $2,566.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.34 / $50.11 / $177.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.35 / $1,156.26 / $1,914.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.01 / $40.90 / $206.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,628.76 / $1,628.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $39.09 / $239.96
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
$30.27 / $58.81 / $272.98