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Louisiana rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $63.38 / $88.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $63.38 / $63.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $6.65 / $90.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $60.22 / $61.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $82.37 / $82.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $63.77