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Louisiana rates for HCPCS J7201

Injection, Factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.73 / $8.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $4.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.79 / $3.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.33 / $4.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.67