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Louisiana rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $500.00 / $1,255.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.52 / $300.00 / $320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.55 / $158.30 / $304.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.75 / $84.75 / $84.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $101.41 / $208.45