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Louisiana rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $535.10 / $1,148.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $514.04 / $628.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.30 / $82.48 / $547.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.47 / $547.47 / $558.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $480.15 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $867.79