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Louisiana rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.12 / $306.12 / $428.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.12 / $306.12 / $306.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.51 / $275.51 / $413.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.51 / $275.51 / $281.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $318.88