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Louisiana rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.23 / $2,218.90 / $5,252.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,137.48 / $2,557.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.96 / $879.96 / $2,966.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.64 / $1,977.64 / $2,017.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $2,137.46 / $2,137.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $1,996.53 / $2,116.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,073.98 / $2,116.32 / $2,426.55