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Louisiana rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $81.77 / $175.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $80.05 / $96.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.97 / $53.94 / $74.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $74.55 / $76.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $74.77 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $79.26 / $91.75