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Louisiana rates for HCPCS A9510

Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.00 / $84.00 / $117.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $84.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.99 / $75.59 / $97.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $75.59 / $77.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $99.75