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Louisiana rates for HCPCS 64635

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,621.81 / $4,466.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$977.24 / $3,235.94 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $416.87 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$281.84 / $537.03 / $2,041.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$257.04 / $323.59 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $398.11 / $691.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $380.19 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $724.44