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Louisiana rates for HCPCS J0716

Injection, Centruroides immune f(ab)2, up to 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,295.32 / $6,295.32 / $8,813.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,295.32 / $6,295.32 / $6,295.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.72 / $4,320.42 / $5,665.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,665.79 / $5,665.79 / $5,779.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,923.47 / $5,923.47 / $5,923.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,246.10 / $6,295.32