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Louisiana rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $22.08 / $41.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.23 / $17.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $107.68 / $139.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $17.61 / $17.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.19 / $5.24