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Louisiana rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.16 / $2,502.79 / $5,393.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,440.69 / $2,953.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.95 / $1,726.38 / $2,370.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.69 / $2,370.69 / $2,418.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,292.35 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.90 / $2,429.89 / $2,896.03