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Louisiana rates for HCPCS 76100

Radiologic examination, single plane body section (eg, tomography), other than with urography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.88 / $38.02 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $63.10 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $144.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $74.13 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $64.57 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $100.00 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $67.61 / $109.65