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Louisiana rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $22.68 / $7,022.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $22.02 / $22.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $22.91 / $26.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $23.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,186.73 / $2,186.73 / $2,186.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $20.77 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $22.02 / $37.26