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Louisiana rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,520.00 / $3,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.45 / $3,387.35 / $5,029.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.68 / $1,517.41 / $1,517.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00