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Louisiana rates for HCPCS J1410

Injection Estrogen Conjugated Per 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.74 / $410.28 / $1,367.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.74 / $395.98 / $472.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.26 / $71.37 / $631.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.18 / $421.18 / $429.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $369.87 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.22 / $392.06 / $527.63