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Louisiana rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.26 / $1,236.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $160.32 / $205.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.49 / $479.55 / $762.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.96 / $165.67 / $206.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.62 / $227.62 / $227.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.43 / $148.61 / $205.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $510.92 / $1,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.82 / $158.13 / $255.70