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Louisiana rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $275.42
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$309.03 / $309.03 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $501.19 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $208.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $223.87