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Louisiana rates for HCPCS J3397

Injection Vestronidase Alfa-Vjbk 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.92 / $325.92 / $456.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.92 / $325.92 / $325.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.61 / $194.31 / $285.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.18 / $285.18 / $290.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.02 / $277.02 / $277.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.02 / $277.02 / $277.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.60 / $271.60 / $339.50