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Louisiana rates for HCPCS 77316

Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), 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
$165.96 / $239.88 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $229.09 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $309.03