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Louisiana rates for HCPCS A9557

Technetium Tc-99m Bicisate Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,399.59 / $4,399.59 / $5,807.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,399.59 / $4,399.59 / $4,399.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.86 / $401.86 / $602.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.86 / $401.86 / $409.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.65 / $3,739.65 / $3,739.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,666.33 / $3,666.33 / $4,399.59