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Louisiana rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $18.62 / $38.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $18.62 / $21.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $20.07 / $30.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $20.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $17.39 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $26.75