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Louisiana rates for HCPCS A9594

Gallium Ga-68 PSMA-11, diagnostic, (UCLA), 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.93 / $913.93 / $1,206.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.93 / $913.93 / $913.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.46 / $1,437.90 / $2,329.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.84 / $776.84 / $776.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.61 / $761.61 / $952.01