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Louisiana rates for HCPCS J1442

Injection Filgrastim (G-Csf) Excludes Bio- Similiars 1 Microgram (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.03 / $2.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.01 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.85 / $0.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $457.63 / $457.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.33