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Louisiana rates for HCPCS 73725

Magnetic resonance angiography, lower extremity, with or without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.20 / $109.65 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $109.65 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $338.84 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $512.86 / $691.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $117.49 / $151.36
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $389.05 / $549.54
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $93.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $323.59 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $741.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $91.20 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $323.59 / $537.03