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Louisiana rates for HCPCS A9555

Rubidium Rb-82, diagnostic, per study dose, up to 60 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.68 / $385.79 / $2,467.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.68 / $355.61 / $391.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.48 / $149.57 / $176.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.51 / $440.51 / $440.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $520.75 / $598.86