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Louisiana rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.06 / $110.00 / $129.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $550.00 / $654.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.62 / $110.00 / $160.41
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.38 / $440.00 / $494.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.29 / $277.29 / $277.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.88 / $523.34 / $708.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.07 / $124.71 / $150.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.81 / $398.63 / $557.44
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.94 / $69.94 / $74.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.10 / $377.87 / $727.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.21 / $91.35 / $156.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.88 / $282.25 / $604.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.63 / $420.45 / $787.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.01 / $87.31 / $141.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.85 / $321.45 / $602.60