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Louisiana rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.52 / $57.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.21 / $1.95