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Louisiana rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $511.64 / $1,097.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $501.71 / $600.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.92 / $409.40 / $479.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.98 / $479.98 / $489.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $468.62 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $567.88