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Louisiana rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.94 / $1,087.17 / $1,243.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.36 / $1,161.22 / $1,271.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.87 / $804.13 / $1,792.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.76 / $1,129.29 / $1,306.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $707.42 / $707.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.76 / $820.14 / $1,287.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.37 / $753.13 / $1,264.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.12 / $772.32 / $1,246.08