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Louisiana rates for HCPCS 75630

Aortography Abdl Bi Iliofem Low Extrem Cath Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.60 / $117.02 / $157.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.44 / $205.02 / $275.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.65 / $110.75 / $151.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.04 / $103.04 / $103.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.76 / $221.87 / $284.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.12 / $137.52 / $161.41
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.12 / $87.25 / $94.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.31 / $178.14 / $383.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.07 / $101.67 / $174.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.22 / $196.82 / $532.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.20 / $102.67 / $156.91