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Louisiana rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.00 / $6.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.95 / $3.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $3.21 / $4.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.55