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Louisiana rates for HCPCS J1951

Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.43 / $145.22 / $310.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $142.40 / $169.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.40 / $123.67 / $147.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.69 / $147.69 / $150.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.01 / $133.01 / $140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $184.42