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Louisiana rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.90 / $283.08 / $352.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.30 / $320.83 / $320.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.75 / $57.75 / $86.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $58.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.33 / $82.33 / $82.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.70 / $272.70 / $272.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $272.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $558.54