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Louisiana rates for HCPCS 77317

Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$143.25 / $155.11 / $166.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $431.54 / $550.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.59 / $472.59 / $472.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.01 / $415.13 / $509.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.09 / $303.26 / $466.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.34 / $291.95 / $459.43