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Louisiana rates for HCPCS 64681

Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.89 / $1,372.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.50 / $448.30 / $847.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.10 / $1,563.68 / $2,340.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.10 / $429.64 / $702.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $189.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.13 / $427.68 / $839.92
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
$361.51 / $541.04 / $1,019.03