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Louisiana rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $4.58 / $9.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.49 / $5.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $8.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $3.28 / $4.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.45 / $5.70