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Louisiana rates for HCPCS 64642

Chemodenervation of one extremity; 1-4 muscle(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $158.49 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $245.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $263.03