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Louisiana rates for HCPCS 64643

Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $102.33 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.87 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $112.20 / $151.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $93.33 / $169.82