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Louisiana rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $75.23 / $179.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $67.31 / $86.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.00 / $61.01 / $71.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $71.67 / $73.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $62.87 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $91.66