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Louisiana rates for HCPCS 0395T

High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.57 / $632.95 / $680.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.64 / $596.57 / $680.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.73 / $1,393.26 / $2,253.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.73 / $1,820.98 / $3,158.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.20 / $673.74 / $1,035.82