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Louisiana rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $70.59 / $10,445.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $51.24 / $61.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.05 / $34.97 / $54.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.10 / $54.10 / $55.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $68.29