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Louisiana rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.76 / $894.35 / $1,192.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.79 / $877.31 / $1,086.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.33 / $1,243.33 / $1,865.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.16 / $1,243.33 / $1,268.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.02 / $1,001.02 / $1,001.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.59 / $1,411.77 / $2,134.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.89 / $1,308.77 / $1,400.38