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Louisiana rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.86 / $162.05 / $304.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $96.86 / $130.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.81 / $1,407.56 / $1,642.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.81 / $172.81 / $176.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.47 / $90.47 / $95.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $95.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.89 / $95.90 / $157.10