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Louisiana rates for HCPCS 77014

Computed tomography guidance for placement of radiation therapy fields

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $38.02 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $218.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $45.71 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $87.10 / $165.96