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Louisiana rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $524.02 / $1,117.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $513.85 / $611.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.95 / $502.95 / $754.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.95 / $502.95 / $513.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.58 / $508.76 / $635.95