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Louisiana rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $50.43 / $168.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.51 / $48.96 / $58.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.85 / $33.85 / $53.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.19 / $53.19 / $54.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $936.80 / $936.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $46.19 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $65.89