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Louisiana rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.41 / $238.77 / $470.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $136.40 / $153.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.77 / $105.55 / $191.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $70.53 / $104.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.36 / $173.85 / $367.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $104.25 / $157.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.59 / $89.24 / $153.38