go back

Louisiana rates for HCPCS J2840

Injection, sebelipase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.60 / $612.60 / $857.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $612.60 / $612.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.10 / $493.14 / $603.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.14 / $493.14 / $503.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $612.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $612.60