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Louisiana rates for HCPCS 64640

Destruction by neurolytic agent; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $229.09 / $977.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$169.82 / $173.78 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $1,148.15 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $389.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $645.65 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,096.48 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $208.93 / $407.38