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Louisiana rates for HCPCS A9538

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.86 / $76.86 / $107.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.86 / $76.86 / $76.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $25.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $76.86