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Louisiana rates for HCPCS A9503

Technetium Tc 99m Medronate Diagnostic Per Study Dose Up To 30 Millicuries Special Coverage Instructions Apply. See Mcm: 1502

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $58.40 / $153.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $15.60 / $15.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $32.18 / $37.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $12.35 / $12.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $41.89 / $41.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $72.20 / $72.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.60