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Louisiana rates for HCPCS 64610

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,288.25 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,398.83 / $4,073.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $5,888.44