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Louisiana rates for HCPCS 77402

Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $288.40 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $204.17 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $416.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $309.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $154.88 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $134.90 / $204.17