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Louisiana rates for HCPCS J1305

Injection Evinacumab-Dgnb 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.75 / $199.24 / $474.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.75 / $195.70 / $229.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.56 / $148.50 / $204.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.94 / $204.94 / $209.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $182.79 / $193.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $242.20