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Louisiana rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.81 / $119.88 / $198.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $112.65 / $166.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.31 / $147.15 / $200.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.59 / $121.87 / $166.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.47 / $89.30 / $97.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $200.36 / $348.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $99.89 / $175.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.58 / $107.19 / $164.40