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Louisiana rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.79 / $122.34 / $191.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.03 / $125.53 / $179.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.77 / $746.47 / $1,679.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.53 / $142.11 / $195.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.29 / $93.29 / $100.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.67 / $219.10 / $274.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $113.82 / $248.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $127.66 / $237.45