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Louisiana rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.02 / $12.42 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $21.21 / $31.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.98 / $11.77 / $15.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.40 / $9.97 / $15.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.24 / $26.99 / $37.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.60 / $14.93 / $19.55
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.80 / $11.17 / $17.80
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.13 / $9.13 / $9.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $19.82 / $39.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.22 / $11.26 / $19.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$5.14 / $8.99 / $18.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $21.92 / $37.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.66 / $11.22 / $17.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.58 / $9.44 / $18.91