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Louisiana rates for HCPCS 64624

Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $340.65 / $606.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.45 / $2,944.21 / $4,260.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.01 / $274.00 / $612.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.73 / $819.73 / $819.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.38 / $269.56 / $636.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,420.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.26 / $464.05 / $784.28