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Louisiana rates for HCPCS J3400

Injection Triflupromazine Hcl Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $13.00 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $12.35 / $18.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $12.35 / $12.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $17.50