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Louisiana rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.62 / $1,372.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.40 / $287.14 / $380.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.41 / $1,169.76 / $1,914.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.05 / $309.57 / $407.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $179.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $293.25 / $400.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,086.00 / $2,755.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.61 / $283.02 / $491.75