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Louisiana rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.73 / $32.43 / $71.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $30.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.08 / $40.61 / $61.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $27.08 / $61.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $23.78 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $25.20 / $32.26