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Louisiana rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.63 / $35.95 / $46.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.82 / $88.15 / $116.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.98 / $32.31 / $44.89
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.73 / $43.58 / $47.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.08 / $55.18 / $68.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.15 / $54.15 / $54.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.98 / $29.84 / $61.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.94 / $76.73 / $158.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.26 / $34.97 / $49.68
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.66 / $37.83 / $109.43
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.80 / $28.19 / $46.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.57 / $65.25 / $139.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.93 / $28.29 / $50.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.64 / $34.84 / $94.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.30 / $79.53 / $148.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.72 / $29.59 / $46.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.17 / $49.47 / $82.11