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Louisiana rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.64 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.86 / $147.34 / $198.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.89 / $426.16 / $649.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.06 / $156.12 / $206.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.71 / $176.53 / $176.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.78 / $151.65 / $219.79
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
$96.03 / $130.63 / $256.26