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Louisiana rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.00 / $1,249.71 / $9,355.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.00 / $1,155.00 / $1,155.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.33 / $1,836.03 / $2,925.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.00 / $972.00 / $991.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.49 / $667.49 / $667.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,155.00