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Louisiana rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $14.00 / $56.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.76 / $1.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.51 / $2.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.98