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Louisiana rates for HCPCS 78812

Pet Imaging Skull Base To Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.37 / $250.00 / $250.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.32 / $250.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.61 / $134.03 / $176.07
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.00 / $81.09 / $81.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.25 / $88.94 / $192.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.59 / $103.23 / $160.29