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Louisiana rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $18.12 / $38.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.01 / $21.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $13.65 / $18.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $18.35 / $18.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $22.66