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Louisiana rates for HCPCS A9552

Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $537.03 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $295.12 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $51.29 / $60.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $398.11