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Louisiana rates for HCPCS 69725

Dcmprn Nrv Intratemporal Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,500.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.21 / $2,238.10 / $2,741.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,674.20 / $11,969.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.50 / $2,179.14 / $3,147.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.71 / $2,204.84 / $3,489.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $6,169.82 / $12,973.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.32 / $2,300.44 / $3,837.33