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Louisiana rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $398.11 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $28.18 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $10.96 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.13