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Louisiana rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,544.00 / $3,728.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.01 / $8,487.19 / $12,665.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $870.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $5,493.00 / $15,885.00