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Louisiana rates for HCPCS G0219

Pet Imaging Whole Body; Melanoma For Non-Covered Indications (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $3,833.00 / $6,917.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $1,250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.78 / $256.47 / $1,665.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.27 / $1,530.86 / $1,578.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.37 / $126.37 / $126.37