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Louisiana rates for HCPCS 76775

Us Retroperitoneal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.29 / $35.89 / $46.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.54 / $69.09 / $116.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.97 / $34.15 / $53.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.55 / $33.21 / $85.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.10 / $54.23 / $56.55
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.26 / $26.23 / $62.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $74.58 / $126.53
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.77 / $35.29 / $52.85
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.01 / $38.84 / $94.35
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.06 / $26.00 / $28.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $60.52 / $129.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.09 / $29.78 / $51.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.91 / $30.57 / $69.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $66.88 / $125.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.74 / $29.59 / $44.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.82 / $32.14 / $80.15