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Louisiana rates for HCPCS 77768

Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.88 / $117.96 / $126.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.37 / $534.44 / $580.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.25 / $528.53 / $628.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.09 / $371.53 / $577.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.92 / $395.88 / $660.88