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Louisiana rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $60 · 10th–90th $60$760%20%40%90th$60Professionalmedian $98 · 10th–90th $48$3090%10%10th90th$98$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $53.70 / $151.36
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $120.23 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $102.33 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $47.86 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $54.95 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $199.53 / $281.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $70.79 / $91.20
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $128.82 / $194.98
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $48.98 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $186.21 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $60.26 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $112.20 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $177.83 / $346.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $58.88 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $112.20 / $213.80