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Louisiana rates for HCPCS 61797

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.33 / $350.67 / $445.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.69 / $337.33 / $457.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.48 / $315.66 / $404.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,937.00 / $28,908.00 / $28,908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.08 / $294.98 / $396.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.25 / $319.10 / $536.63