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Louisiana rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.52 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.44 / $2.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.80 / $2.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.42 / $3.26