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Louisiana rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $7.91 / $16.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.38 / $9.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.71 / $9.71 / $14.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $9.71 / $9.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $12.46