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Louisiana rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $14.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $11.94 / $14.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.94 / $11.94 / $12.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $15.08