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Louisiana rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.63 / $11.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.52 / $6.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.80 / $5.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.46 / $6.99