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Louisiana rates for HCPCS 73723

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.39 / $110.00 / $171.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.08 / $550.00 / $819.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.26 / $120.00 / $209.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.87 / $440.00 / $599.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.33 / $341.33 / $341.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.47 / $97.01 / $232.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.25 / $643.54 / $867.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.35 / $165.24 / $196.75
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$414.90 / $478.31 / $671.17
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.22 / $93.22 / $98.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.93 / $465.36 / $975.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.91 / $120.56 / $204.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.02 / $338.67 / $757.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.37 / $524.17 / $1,110.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.05 / $114.08 / $181.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.32 / $388.57 / $792.70