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Louisiana rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.77 / $49.84 / $167.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.77 / $57.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.77 / $32.59 / $49.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $49.64 / $50.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,344.27 / $1,344.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $42.75 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $60.98