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Louisiana rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $13,489.63 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $186.21 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $208.93