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Louisiana rates for HCPCS A9540

Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $41.69 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $30.90 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $36.31