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Louisiana rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.40 / $89.40 / $125.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.40 / $89.40 / $89.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.35 / $70.80 / $81.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.45 / $80.45 / $82.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $89.40