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Louisiana rates for HCPCS 36221

Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.47 / $865.18 / $1,471.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,068.78 / $5,980.15 / $10,332.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.57 / $429.71 / $1,767.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.94 / $2,438.36 / $2,438.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.39 / $563.24 / $1,668.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.00 / $3,501.00 / $9,160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.06 / $1,322.78 / $2,452.59