go back

Louisiana rates for HCPCS J2212

Injection, methylnaltrexone, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $302.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.44 / $1.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.42 / $1.91