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Louisiana rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $117.14 / $146.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.11 / $22.65 / $30.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.96 / $94.49 / $120.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $145.22 / $170.46
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.54 / $28.76 / $34.22
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.87 / $117.63 / $139.41
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.07 / $17.07 / $18.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.22 / $100.52 / $181.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.63 / $20.98 / $34.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.59 / $79.62 / $149.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.21 / $102.70 / $147.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.39 / $20.43 / $32.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.82 / $85.35 / $118.64