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Louisiana rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.50 / $1,530.50 / $1,530.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.17 / $2,554.17 / $2,554.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.83 / $2,168.86 / $3,018.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.26 / $1,526.92 / $1,946.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,141.71 / $3,212.58 / $4,250.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.83 / $2,031.22 / $3,561.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.62 / $1,153.64 / $1,891.99