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Louisiana rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $2,026.88 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.26 / $2,026.88 / $2,243.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.01 / $8,487.19 / $12,665.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.78 / $1,836.76 / $2,473.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,208.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.91 / $1,834.90 / $2,468.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.82 / $1,651.83 / $3,074.89