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Louisiana rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.77 / $31.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.48 / $17.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $9.36 / $15.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $19.30