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Louisiana rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $12.83 / $141.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.83 / $6.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $8.27 / $9.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $34.13 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $9.24