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Louisiana rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.33 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.24 / $2.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.65