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Louisiana rates for HCPCS 77771

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$294.05 / $318.67 / $342.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.76 / $892.64 / $1,029.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.68 / $318.55 / $350.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.42 / $889.42 / $889.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.88 / $883.60 / $1,072.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$233.12 / $305.56 / $363.62
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.00 / $183.38 / $183.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.50 / $620.86 / $978.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.91 / $206.55 / $391.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.22 / $669.48 / $1,047.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.77 / $212.27 / $370.11