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Louisiana rates for HCPCS 64616

Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.03 / $1,135.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,161.83 / $1,161.83 / $1,161.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.32 / $168.06 / $218.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$364.80 / $834.00 / $834.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.88 / $561.94 / $941.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $169.90 / $222.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.71 / $383.92 / $383.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.73 / $163.06 / $225.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $152.35 / $289.36