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Louisiana rates for HCPCS A9521

Technetium Tc-99m Exametazime Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.76 / $2,056.76 / $2,714.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.76 / $2,056.76 / $2,056.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.04 / $240.58 / $1,851.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.08 / $1,851.08 / $1,888.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $1,748.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $1,748.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $2,056.76