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Louisiana rates for HCPCS J0720

Injection Chloramphenicol Sodium Succinate Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.38 / $58.38 / $81.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.38 / $58.38 / $58.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.54 / $52.54 / $78.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $52.54 / $53.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $48.65 / $58.38