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Louisiana rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.11 / $29.26 / $120.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $25.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $50.38 / $61.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.53 / $23.72 / $50.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $20.30 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $21.53 / $27.56