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Louisiana rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.18 / $64.18 / $89.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $64.18 / $64.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.76 / $57.76 / $86.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.76 / $57.76 / $58.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.29 / $56.42 / $64.18