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Louisiana rates for HCPCS A9516

Iodine I-123 sodium iodide, diagnostic, per 100 mcCi, up to 999 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.48 / $133.85 / $351.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.48 / $127.48 / $127.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.94 / $74.40 / $181.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.11 / $121.11 / $123.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.31 / $221.31 / $221.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $108.36 / $108.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $142.97