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Louisiana rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $8.34 / $122.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.06 / $3.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $3.66 / $30.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $15.88 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $4.26