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Louisiana rates for HCPCS 90375

Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.85 / $279.85 / $10,347.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.85 / $279.85 / $322.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.29 / $282.33 / $324.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.89 / $318.89 / $325.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $2,720.85 / $2,720.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.01 / $264.01 / $375.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.45 / $375.45 / $375.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.24 / $316.23 / $816.60