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Louisiana rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.68 / $1,011.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$861.84 / $975.00 / $2,299.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $157.47 / $303.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.32 / $181.18 / $861.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.32 / $229.32 / $229.32
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$96.29 / $96.29 / $96.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.98 / $538.16 / $891.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $129.06 / $358.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $516.26 / $516.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $174.48 / $361.28
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
$160.85 / $225.72 / $421.80