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Louisiana rates for HCPCS 64490

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.91 / $1,100.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$927.00 / $2,771.62 / $3,143.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.18 / $181.36 / $310.17
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.99 / $272.04 / $272.04
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$150.91 / $360.59 / $360.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.39 / $1,242.89 / $1,951.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $193.41 / $293.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $987.09 / $987.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.25 / $183.08 / $305.32
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
$163.47 / $234.73 / $444.67