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Louisiana rates for HCPCS J7197

Antithrombin Iii Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.23 / $9.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.15 / $4.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.00 / $17.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $4.33 / $4.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.87 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.35