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Louisiana rates for HCPCS A9567

Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi

Facilitymedian $18 · 10th–90th $16$4070%20%10th90th$18Professionalmedian $16 · 10th–90th $3$210%20%10th90th$16$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $18.20 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.85 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $22.39