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Louisiana rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.00 / $1,230.00 / $4,446.34
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$871.25 / $2,042.36 / $8,672.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.90 / $393.68 / $675.36
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.10 / $338.10 / $518.37
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$267.24 / $267.24 / $340.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.60 / $2,982.97 / $4,443.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.63 / $410.81 / $685.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.11 / $1,405.66 / $1,405.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.88 / $379.92 / $675.60
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
$356.29 / $499.90 / $867.96