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Louisiana rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $501.19 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $158.49 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $104.71 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $138.04 / $208.93