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Louisiana rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $19.05 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $18.20 / $20.42