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Louisiana rates for HCPCS 77300

Basic Radiation Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.60 / $51.97 / $57.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.40 / $96.64 / $127.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.07 / $47.95 / $57.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.34 / $46.99 / $59.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.90 / $76.90 / $76.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.65 / $36.18 / $50.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $97.65 / $120.06
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.10 / $49.91 / $59.17
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.81 / $47.74 / $62.05
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.01 / $98.34 / $98.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.86 / $68.20 / $124.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.41 / $34.07 / $56.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.45 / $34.47 / $68.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.23 / $75.30 / $117.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.40 / $36.84 / $56.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.74 / $37.76 / $62.72