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Louisiana rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,659.59 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $234.42 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $691.83 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $338.84 / $691.83