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Louisiana rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $59.16 / $126.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.66 / $69.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.81 / $42.01 / $51.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.98 / $51.98 / $53.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $52.93 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $72.11