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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
$105.86 / $117.96 / $129.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.31 / $329.17 / $362.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.61 / $315.68 / $387.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $231.64 / $355.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $231.67 / $350.44