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Louisiana rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.64 / $396.39 / $843.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.64 / $388.70 / $461.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.76 / $610.23 / $711.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.65 / $419.65 / $428.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $363.06 / $384.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $492.61