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Louisiana rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $449.60 / $964.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.34 / $528.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $30.80 / $741.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.23 / $494.23 / $504.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $407.57 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $545.86