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Louisiana rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.79 / $1,300.00 / $3,749.50
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,692.09 / $7,692.09 / $7,692.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.31 / $190.21 / $373.21
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$171.15 / $171.15 / $172.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.99 / $1,150.04 / $1,914.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.81 / $192.02 / $367.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.36 / $640.33 / $640.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.25 / $206.00 / $377.15
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
$180.73 / $270.56 / $482.93