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Louisiana rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.61 / $1,257.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.39 / $198.41 / $304.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.50 / $933.05 / $1,866.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.00 / $199.59 / $298.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $112.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.02 / $200.57 / $308.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,106.00 / $2,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.09 / $217.15 / $382.07