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Louisiana rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.88 / $869.88 / $1,043.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.88 / $869.88 / $869.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.48 / $149.57 / $331.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $123.43 / $125.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $85.80 / $143.00