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Louisiana rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.09 / $518.79 / $691.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $494.09 / $518.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.40 / $266.63 / $444.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98