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Louisiana rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.06 / $175.41 / $417.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.06 / $172.18 / $202.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.74 / $537.74 / $806.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.74 / $537.74 / $548.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.83 / $160.83 / $170.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $356.14