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Louisiana rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.49 / $83.72 / $148.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $60.49 / $60.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $42.48 / $63.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $42.48 / $43.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $50.40 / $62.90