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Louisiana rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $72.40 / $101.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $72.40 / $74.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.69 / $58.35 / $67.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $65.16 / $66.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.31 / $60.34 / $71.26