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Louisiana rates for HCPCS 72193

Ct Pelvis W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.26 / $60.00 / $92.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.78 / $300.00 / $450.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $60.00 / $112.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.25 / $240.00 / $333.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.27 / $57.30 / $124.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $366.71 / $421.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.42 / $89.19 / $107.19
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.16 / $273.56 / $317.52
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.80 / $49.80 / $52.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.93 / $261.72 / $451.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.76 / $64.87 / $110.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.17 / $189.00 / $340.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $270.35 / $449.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.41 / $62.42 / $99.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.31 / $205.24 / $351.60