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Louisiana rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $317.94 / $678.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.80 / $311.77 / $371.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.51 / $219.49 / $286.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.89 / $286.89 / $292.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $291.20 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.51 / $308.68 / $415.42