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Louisiana rates for HCPCS A9800

Gallium Ga-68 gozetotide, diagnostic, (Locametz), 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.54 / $734.54 / $14,487.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.98 / $734.54 / $810.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.92 / $889.92 / $1,334.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.92 / $889.92 / $907.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,601.76 / $5,601.76 / $5,601.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.60 / $612.11 / $823.77