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Louisiana rates for HCPCS 77076

Radiologic Examination Osseous Survey Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $110.21 / $169.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.88 / $110.71 / $161.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.03 / $148.58 / $276.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.60 / $138.52 / $168.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.60 / $93.60 / $101.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.31 / $227.42 / $279.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $98.98 / $185.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.18 / $245.18 / $245.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $104.66 / $151.72