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Louisiana rates for HCPCS 78458

Venous Thrombosis Imaging Venogram Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $237.51 / $934.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.35 / $235.59 / $247.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.04 / $439.51 / $884.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.20 / $243.08 / $300.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $165.46 / $165.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.62 / $394.84 / $741.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.69 / $189.01 / $372.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.22 / $212.21 / $337.58