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Louisiana rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.39 / $38.49 / $128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.39 / $44.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.51 / $43.51 / $65.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.51 / $43.51 / $44.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $6,644.57 / $6,644.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $32.11 / $34.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $71.13