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Louisiana rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.42 / $365.42 / $1,096.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.42 / $365.42 / $365.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.36 / $314.05 / $531.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.24 / $354.24 / $361.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $401.45