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Louisiana rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.02 / $140.68 / $194.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.02 / $140.68 / $140.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.90 / $85.54 / $125.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.12 / $125.12 / $127.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $140.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $139.28