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Louisiana rates for HCPCS 64721

Neuroplasty and/or transposition; median nerve at carpal tunnel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,187.76 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$812.83 / $3,715.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,023.29 / $1,412.54 / $5,888.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $416.87 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$363.08 / $549.54 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,090.30 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $741.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $870.96