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Louisiana rates for HCPCS 72198

Mra Pelvis W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.94 / $110.00 / $142.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.98 / $550.00 / $695.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.60 / $110.00 / $174.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.04 / $440.00 / $520.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.51 / $564.14 / $752.35
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.84 / $129.04 / $163.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$370.67 / $427.22 / $588.40
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.37 / $77.37 / $80.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.64 / $391.18 / $800.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.55 / $95.22 / $170.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.09 / $288.02 / $619.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.26 / $434.52 / $751.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.53 / $97.32 / $153.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.73 / $335.69 / $630.28