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Louisiana rates for HCPCS 77306

Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.15 / $117.49 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $234.42