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Louisiana rates for HCPCS 51605

Injection procedure and placement of chain for contrast and/or chain urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.05 / $2,562.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $54.17 / $72.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $119.68 / $212.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $57.21 / $72.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.35 / $59.35 / $59.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.52 / $53.20 / $78.48
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
$34.17 / $48.24 / $177.89