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Louisiana rates for HCPCS A9520

Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.89 / $793.89 / $1,111.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.89 / $793.89 / $793.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.56 / $255.54 / $507.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.38 / $507.38 / $517.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $826.96