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Louisiana rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.64 / $598.64 / $598.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.91 / $598.64 / $598.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.78 / $538.78 / $808.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.78 / $538.78 / $549.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.84 / $508.84 / $508.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.01 / $498.87 / $598.64