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Louisiana rates for HCPCS A9537

Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $86.50 / $169.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $66.38 / $66.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $8.69 / $13.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $8.69 / $8.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $73.73 / $73.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $96.44