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Louisiana rates for HCPCS J9261

Injection Nelarabine 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.01 / $95.07 / $178.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.89 / $79.86 / $95.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.50 / $69.50 / $104.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $69.50 / $70.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $75.34 / $79.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.87 / $79.86 / $104.50