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Louisiana rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $64.57 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $61.66 / $100.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $190.55 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $371.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $85.11 / $102.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $239.88 / $269.15
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $56.23 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $245.47 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $69.18 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $173.78 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $269.15 / $588.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $64.57 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $190.55 / $489.78