go back

Louisiana rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.10 / $188.97 / $405.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $185.31 / $221.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.36 / $142.99 / $171.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.51 / $171.51 / $174.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,611.78 / $13,611.78 / $13,611.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $173.09 / $183.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.34 / $183.48 / $228.98