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Louisiana rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $510.41 / $1,092.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.43 / $500.50 / $598.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.70 / $415.01 / $489.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.74 / $489.74 / $499.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $467.50 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.64 / $495.55 / $560.99