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Louisiana rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.63 / $26.11 / $33.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.41 / $216.57 / $299.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.90 / $216.65 / $338.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.75 / $166.35 / $367.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.31 / $186.47 / $272.77