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Louisiana rates for HCPCS 77767

Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.32 / $89.12 / $95.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.37 / $358.04 / $388.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.63 / $350.12 / $404.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.58 / $237.47 / $386.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.33 / $235.55 / $421.87