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Louisiana rates for HCPCS J1427

Injection Viltolarsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.68 / $67.68 / $94.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.68 / $67.68 / $67.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.68 / $53.60 / $61.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.91 / $60.91 / $62.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $67.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $67.68