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Louisiana rates for HCPCS J1575

Hyqvia 100mg Immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.94 / $40.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.32 / $22.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $10.72 / $19.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $17.12 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $24.43