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Louisiana rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $35.47 / $49.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $35.47 / $35.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.09 / $33.09 / $49.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $33.09 / $33.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $35.47