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Louisiana rates for HCPCS A9596

Gallium Ga-68 Gozetotide Diagnostic (Illuccix) 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.83 / $1,671.73 / $11,034.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.87 / $1,239.83 / $1,239.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $89.34 / $1,115.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.85 / $1,115.85 / $1,138.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,942.16 / $3,942.16 / $3,942.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.85 / $1,053.85 / $1,053.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.71 / $1,033.20 / $1,239.83