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Louisiana rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.23 / $173.17 / $371.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $166.23 / $203.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.19 / $136.33 / $179.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.63 / $179.63 / $183.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,839.72 / $4,839.72 / $4,839.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $155.27 / $164.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.30 / $164.59 / $221.50