go back

Louisiana rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $3,770.66 / $8,041.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,660.83 / $4,403.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.75 / $345.47 / $3,670.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.25 / $3,670.25 / $3,743.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,453.62 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,587.61 / $3,660.83 / $4,611.45