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Louisiana rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.09 / $935.09 / $1,309.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.09 / $935.09 / $935.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.66 / $601.52 / $841.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83