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Louisiana rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.88 / $43.51 / $52.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $106.41 / $124.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.46 / $39.54 / $50.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.54 / $66.86 / $73.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.14 / $99.04 / $172.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.77 / $40.86 / $65.06
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.79 / $53.99 / $106.27
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.04 / $29.04 / $31.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.84 / $80.58 / $157.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.75 / $35.64 / $61.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.09 / $46.19 / $113.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $98.36 / $157.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.35 / $36.81 / $57.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.84 / $61.37 / $100.61