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Louisiana rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $1,236.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.27 / $249.59 / $376.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,992.33 / $5,096.16 / $7,424.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.18 / $249.04 / $375.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.72 / $2,900.06 / $2,900.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.74 / $236.64 / $403.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.63 / $299.47 / $564.62