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Louisiana rates for HCPCS 77399

Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.43 / $1,049.43 / $1,049.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,029.60 / $3,029.60 / $3,029.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.44 / $222.99 / $369.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.63 / $326.10 / $502.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.60 / $48.60 / $49.60