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Louisiana rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $7.84 / $126.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.90 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.47 / $10.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $24.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.90 / $3.94