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Louisiana rates for HCPCS J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.00 / $1,954.19 / $4,113.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,847.00 / $2,251.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.62 / $2,139.89 / $2,778.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.39 / $1,931.39 / $1,970.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.20 / $1,725.20 / $1,828.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $1,828.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $3,261.96