go back

Louisiana rates for HCPCS A9567

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $18.30 / $85.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $16.98 / $18.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $27.43