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Louisiana rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.88 / $159.88 / $159.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.88 / $159.88 / $159.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $117.34 / $191.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.79 / $245.99 / $294.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $232.00 / $232.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.54 / $1,021.54 / $1,042.60