go back

Louisiana rates for HCPCS J9303

Vectibix IV SOLN 100 MG/5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $181.18 / $367.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $174.75 / $208.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.92 / $172.55 / $300.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.42 / $86.14 / $177.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.18 / $177.18 / $180.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,234.09 / $6,234.09 / $6,234.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $163.24 / $173.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $173.03 / $173.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.19 / $173.03 / $199.16