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Louisiana rates for HCPCS A9536

Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,202.26 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $812.83 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,548.82