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Louisiana rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.80 / $60.00 / $78.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.07 / $300.00 / $322.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $60.00 / $97.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.04 / $215.93 / $240.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.69 / $137.69 / $156.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.88 / $49.20 / $86.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.83 / $248.99 / $316.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.32 / $76.63 / $93.07
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.51 / $172.37 / $223.17
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.78 / $45.86 / $92.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.38 / $186.42 / $348.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.71 / $55.85 / $95.02
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$231.34 / $231.34 / $231.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.66 / $129.38 / $253.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.83 / $199.68 / $366.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.49 / $53.92 / $89.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.82 / $143.30 / $272.69