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Louisiana rates for HCPCS J1568

Octagam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $49.83 / $106.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $48.00 / $58.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.67 / $34.81 / $52.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.87 / $52.87 / $53.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,797.32 / $1,797.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $44.83 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $63.97