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Louisiana rates for HCPCS 79200

Radiopharmaceutical therapy, by intracavitary administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.47 / $161.97 / $253.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.66 / $161.97 / $169.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.39 / $412.98 / $694.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.27 / $181.99 / $248.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $117.34 / $117.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.97 / $146.96 / $244.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $136.34 / $300.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.78 / $158.02 / $257.11