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Louisiana rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.47 / $1,093.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $109.73 / $148.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.65 / $2.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.81 / $113.78 / $149.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $58.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $108.82 / $158.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $108.70 / $198.94