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Louisiana rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $140.22 / $206.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.87 / $1,768.96 / $3,686.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.77 / $220.53 / $260.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $108.20 / $108.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.43 / $251.43 / $251.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $180.51 / $266.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.33 / $163.96 / $295.80