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Louisiana rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.98 / $2,525.98 / $3,536.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.98 / $2,525.98 / $2,525.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.38 / $2,273.38 / $3,410.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.38 / $2,273.38 / $2,318.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,631.23