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Louisiana rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.49 / $1,971.79 / $2,192.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.59 / $6,055.24 / $8,967.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.92 / $1,631.13 / $2,118.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.30 / $1,408.61 / $2,045.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.76 / $1,352.06 / $2,519.81