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Louisiana rates for HCPCS 64633

Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $1,273.00 / $3,779.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$975.00 / $3,832.50 / $6,162.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.13 / $401.83 / $683.51
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$345.12 / $345.12 / $345.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.97 / $398.97 / $398.97
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$275.45 / $275.45 / $275.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.10 / $2,231.19 / $4,054.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.24 / $417.22 / $679.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.78 / $1,391.46 / $1,391.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.92 / $385.74 / $686.70
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
$360.48 / $495.55 / $862.73