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Louisiana rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $4.49 / $194.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.16 / $31.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $5.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $109.29 / $141.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.28 / $3.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.13 / $4.40