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Louisiana rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.65 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.64 / $0.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $11.52 / $13.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.07