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Louisiana rates for HCPCS J9039

Injection, blinatumomab, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.21 / $210.54 / $486.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $197.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.86 / $94.46 / $167.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $170.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.96 / $154.96 / $164.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.83 / $164.25 / $189.05