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Louisiana rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $1,412.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $524.81 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $912.01 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $407.38 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,380.38