go back

Louisiana rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.41 / $233.78 / $314.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.87 / $246.53 / $357.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.39 / $453.09 / $884.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.33 / $258.68 / $397.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $180.44 / $180.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.94 / $471.11 / $888.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.41 / $198.07 / $457.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.52 / $848.52 / $848.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.43 / $210.57 / $307.94