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Louisiana rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.48 / $95.78 / $126.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.63 / $189.07 / $290.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.68 / $86.82 / $118.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.88 / $55.88 / $77.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.15 / $217.30 / $309.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.86 / $98.04 / $142.63
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.11 / $75.12 / $78.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.42 / $170.68 / $303.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.09 / $80.29 / $138.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.34 / $178.66 / $284.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.86 / $80.44 / $128.19