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Louisiana rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.89 / $110.00 / $142.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $550.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.08 / $110.00 / $145.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.86 / $92.26 / $92.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.49 / $436.90 / $593.73
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.78 / $128.91 / $163.94
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.68 / $76.68 / $81.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.42 / $316.49 / $711.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.05 / $94.37 / $169.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.53 / $366.19 / $717.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.40 / $98.18 / $160.90