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Louisiana rates for HCPCS 64492

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 3+ Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.77 / $1,135.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $98.52 / $155.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$157.41 / $157.41 / $157.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.31 / $423.75 / $1,298.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.84 / $100.50 / $150.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.53 / $358.85 / $358.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.25 / $101.68 / $155.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $117.60 / $219.08