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Louisiana rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $108.28 / $240.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.79 / $108.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $78.45 / $78.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.78 / $53.70 / $82.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.73 / $82.73 / $84.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,689.18 / $7,689.18 / $7,689.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $74.52 / $79.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.68 / $79.00 / $96.38