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Louisiana rates for HCPCS J9274

Injection, tebentafusp-tebn, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $303.93 / $646.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $260.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.24 / $236.24 / $354.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.24 / $236.24 / $240.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $204.80 / $217.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.38 / $217.09 / $251.88