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Louisiana rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $4.93 / $11.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.48 / $4.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $7.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $5.52 / $7.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.95 / $7.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.95 / $27.95 / $27.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.45 / $4.63