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Louisiana rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $57.75 / $123.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.57 / $67.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.61 / $43.93 / $51.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.74 / $51.74 / $52.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $3,201.35 / $3,201.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $52.89 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.02 / $56.07 / $75.45