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Louisiana rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $84.15 / $180.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $81.16 / $98.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $22.12 / $89.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.11 / $89.11 / $90.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $74.33 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $106.05