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Louisiana rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.70 / $2.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.68