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Louisiana rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $360.00 / $440.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$1,260.00 / $1,680.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$78.67 / $245.70 / $343.35
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$84.00 / $255.15 / $1,230.23
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$206.32 / $410.80 / $410.80
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$303.49 / $303.49 / $1,495.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$97.55 / $105.05 / $150.44
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$94.91 / $105.05 / $128.40
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$159.12 / $210.11 / $280.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.90 / $91.90 / $91.90