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Louisiana rates for HCPCS 68850

Injection Contrast Medium Dacryocystograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.97 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $85.48 / $110.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.74 / $237.31 / $899.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.96 / $74.81 / $94.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $44.87 / $44.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.67 / $76.67 / $76.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.29 / $67.68 / $107.93
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
$53.35 / $75.88 / $150.19