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Louisiana rates for HCPCS J3145

Testosterone Undecanoate 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.09 / $4.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.09 / $2.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.13 / $2.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $3.32