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Louisiana rates for HCPCS J9042

Brentuximab Vedotin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $333.49 / $728.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $258.64 / $312.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.93 / $248.93 / $462.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.94 / $98.77 / $248.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.93 / $248.93 / $253.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,479.68 / $7,479.68 / $7,479.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $244.00 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.95 / $258.64 / $297.69