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Louisiana rates for HCPCS 73721

Mri Any Jt Lower Extrem W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.13 / $110.00 / $125.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.66 / $475.00 / $700.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.03 / $110.00 / $145.65
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$88.07 / $275.00 / $300.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.77 / $335.00 / $440.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.44 / $181.89 / $190.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.94 / $67.13 / $118.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.29 / $338.25 / $457.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.45 / $104.45 / $126.73
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$202.83 / $242.46 / $337.20
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.34 / $62.04 / $115.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.32 / $236.46 / $588.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.88 / $71.79 / $130.41
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$301.29 / $301.29 / $301.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.45 / $158.69 / $454.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.23 / $271.77 / $654.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.38 / $73.00 / $110.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.85 / $180.58 / $428.87