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Louisiana rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.04 / $1,172.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.34 / $263.95 / $339.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.82 / $1,563.68 / $2,340.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.50 / $257.31 / $336.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.87 / $2,285.67 / $2,285.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.96 / $248.37 / $352.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,100.00 / $3,191.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.33 / $246.56 / $469.36