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Louisiana rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.46 / $405.69 / $870.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $396.00 / $435.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.85 / $433.85 / $650.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.85 / $433.85 / $433.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.29 / $215.29 / $215.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $369.90 / $392.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $405.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $471.86