go back

Louisiana rates for HCPCS J3396

Injection Verteporfin 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.90 / $25.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.65 / $13.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $8.83 / $12.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.67 / $12.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $10.88 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $13.75