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Louisiana rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $14.60 / $27.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $10.68 / $12.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $19.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $16.82 / $47.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.83 / $145.83 / $145.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $10.07 / $10.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $10.68 / $13.35