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Louisiana rates for HCPCS 64555

Prq Impltj Neurostimulator Eltrd Peripheral Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.71 / $554.78 / $2,742.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,537.51 / $8,263.50 / $13,603.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.36 / $466.18 / $2,856.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $289.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.03 / $515.66 / $2,965.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.83 / $1,681.09 / $3,146.87