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Louisiana rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.65 / $390.23 / $1,036.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.75 / $315.89 / $371.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.49 / $334.49 / $501.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.77 / $334.49 / $341.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.93 / $309.70 / $356.48