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Louisiana rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $36.99 / $79.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.90 / $43.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.74 / $11.43 / $37.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.39 / $37.39 / $38.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $42.11