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Louisiana rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $21.20 / $41.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $21.20 / $22.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.96 / $17.55 / $22.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $22.45 / $22.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.99 / $23.14