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Louisiana rates for HCPCS J2995

Injection, streptokinase, per 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.75 / $93.75 / $131.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.75 / $93.75 / $93.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.06 / $115.89 / $135.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.06 / $89.06 / $90.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $113.36