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Louisiana rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.47 / $190.00 / $698.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $126.48 / $224.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.31 / $141.52 / $193.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.15 / $150.32 / $197.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.66 / $117.07 / $131.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.99 / $287.99 / $482.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.40 / $126.78 / $235.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.03 / $182.03 / $182.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.31 / $139.38 / $228.09