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Louisiana rates for HCPCS 70540

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.81 / $110.00 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $522.50 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.00 / $110.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $348.53 / $440.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.57 / $377.64 / $644.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.70 / $103.45 / $123.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.86 / $274.19 / $520.16
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.77 / $57.77 / $61.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.86 / $278.49 / $588.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.48 / $71.09 / $128.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.39 / $194.14 / $503.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.46 / $327.36 / $661.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.88 / $73.68 / $115.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.84 / $235.60 / $439.32