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Louisiana rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.75 / $1,702.78 / $1,797.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.30 / $1,710.89 / $1,870.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.00 / $1,509.94 / $3,634.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.93 / $1,916.81 / $2,159.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.50 / $52.50 / $52.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.23 / $543.54 / $947.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.86 / $263.38 / $448.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.79 / $1,352.64 / $2,112.09