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Louisiana rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.29 / $604.00 / $1,065.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.31 / $650.73 / $771.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $20.42 / $836.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.76 / $836.76 / $853.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.13 / $106.13 / $106.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.58 / $883.24 / $1,188.66