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Louisiana rates for HCPCS J1628

Injection Guselkumab 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $78.59 / $187.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.61 / $76.73 / $90.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.72 / $91.19 / $135.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $135.66 / $138.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,719.56 / $19,719.56 / $19,719.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $71.67 / $75.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $129.53