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Louisiana rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.02 / $162.02 / $226.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.02 / $162.02 / $162.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.77 / $145.77 / $218.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.77 / $145.77 / $148.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.72 / $137.72 / $137.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $137.72 / $137.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $207.14