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Louisiana rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $575.32 / $1,234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $564.04 / $675.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.13 / $473.00 / $544.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.96 / $529.96 / $540.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $526.85 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $698.08