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Louisiana rates for HCPCS A9507

Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $7,385.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $5,275.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.26 / $1,123.08 / $4,747.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,747.68 / $4,747.68 / $4,842.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,483.93 / $4,483.93 / $4,483.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,483.93 / $4,483.93 / $4,483.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $6,066.49