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Louisiana rates for HCPCS 76100

Radex 1 Plne Body Section Oth/Thn W/Urograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.92 / $36.72 / $47.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $106.73 / $135.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.84 / $70.16 / $90.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.95 / $117.51 / $158.30
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.55 / $79.56 / $123.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $93.15 / $159.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.53 / $59.32 / $117.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $107.05 / $166.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.28 / $72.13 / $129.00