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Louisiana rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,500.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.32 / $1,638.06 / $1,798.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.80 / $2,929.90 / $3,945.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.24 / $1,427.18 / $1,850.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,059.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.14 / $1,338.17 / $1,942.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $6,699.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.35 / $1,130.81 / $2,148.54