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Louisiana rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $114.67 / $250.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $98.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.18 / $84.18 / $126.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.18 / $84.18 / $85.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $77.43 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.87 / $82.08 / $92.68