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Louisiana rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.28 / $19.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.10 / $10.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $13.54 / $19.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $16.42